Individual
ETHAN D ERWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 FOREST HILLS BLVD STE 205, BELLA VISTA, AR 72715-3071
(479) 855-9348
Mailing address
124 S COLLEGE ST APT 8, MOUNTAIN HOME, AR 72653-3921
(870) 405-3435
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4646
AR
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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