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Individual

ETHAN MYCHAJLONKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
18561 N 59TH AVE, GLENDALE, AZ 85308-1256
(602) 313-4089
(623) 322-0664
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
AZ

Other

Enumeration date
06/17/2025
Last updated
06/17/2025
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