Individual
DR. ETHAN WARCHOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
60 LAUREL RIDGE TRL, KILLINGWORTH, CT 06419-2430
(203) 640-1742
Mailing address
60 LAUREL RIDGE TRL, KILLINGWORTH, CT 06419-2430
(203) 640-1742
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011556
CT
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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