Ethan Kizziar, DPT
NPI #1851133862 in Coronado, California
Provider Information
- NPI Number
- 1851133862
- Entity Type
- Individual
- Name
- Ethan Kizziar, DPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- DPT
- Enumeration Date
- Jun 10, 2024
- Last Updated
- Jul 3, 2024
Practice Location
- Address
- 120 C AVE STE 110
- City
- Coronado
- State
- California
- ZIP Code
- 92118-1992
- Phone
- (858) 225-7222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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