Individual
MISS DANA ELAINE ETHERIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
360 E ENON RD, YELLOW SPRINGS, OH 45387-1415
(937) 767-1303
(937) 767-1025
Mailing address
360 E ENON RD, YELLOW SPRINGS, OH 45387-1415
(937) 767-1303
(937) 767-1025
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
8009
OH
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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