Individual
TABETHA J ERNSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 MAIN ST, MANSON, IA 50563-5160
(712) 469-3908
Mailing address
927 N CRAWFORD ST, CARROLL, IA 51401-2221
(712) 260-3889
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001383
IA
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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