Ethan O'hearn, PTA

NPI #1740018019 in Valrico, Florida

Provider Information

NPI Number
1740018019
Entity Type
Individual
Name
Ethan O'hearn, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Jul 26, 2024
Last Updated
Jul 26, 2024

Practice Location

Address
1586 BLOOMINGDALE AVE
State
Florida
ZIP Code
33596-6101
Phone
(813) 978-9700

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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