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Individual

DR. ETHAN TYLER PEARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1231 FARMINGTON AVE, BERLIN, CT 06037-2301
(860) 827-1333
Mailing address
125 REDWOOD DR, BRISTOL, CT 06010-2417
(860) 385-3550

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14652
CT

Other

Enumeration date
08/09/2024
Last updated
09/25/2024
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