Individual
ETHAN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
321 W BRUCE ST STE B, SEYMOUR, IN 47274-2380
(812) 522-7887
(812) 522-7326
Mailing address
321 W BRUCE ST STE B, SEYMOUR, IN 47274-2380
(812) 522-7887
(812) 522-7326
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012526A
IN
Other
Enumeration date
09/06/2017
Last updated
09/14/2020
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