Individual
ETHAN B WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
6355 WALKER LN, SUITE #404, ALEXANDRIA, VA 22310-3245
(703) 797-6900
Mailing address
6355 WALKER LN, SUITE #404, ALEXANDRIA, VA 22310-3245
(703) 797-6900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305208421
VA
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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