Individual
ETHAN DVORAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3401 S LAFAYETTE ST, ENGLEWOOD, CO 80113-2926
(720) 838-2219
Mailing address
3320 S PEARL ST UNIT B, ENGLEWOOD, CO 80113-2884
(970) 481-1876
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0020326
CO
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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