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Individual

ETHAN VOSBURGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
117 MCNARY ESTATES DR N, KEIZER, OR 97303-7459
(503) 400-7717
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12296564-2401
UT
225100000X
Physical Therapist
Primary

Other

Enumeration date
09/22/2021
Last updated
09/22/2021
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