Ethan Lewis
Ethan Lewis is a Physical Therapist in Ithaca, New York. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
10 Brentwood DrIthaca, NY 14850-1865
Phone: (607) 274-4159
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|
Record details
| NPI number | 1942677877 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 26, 2015 |
| Last updated in NPPES | August 26, 2015 |
| Mailing address | 10 Brentwood Dr, Ithaca, NY 14850-1865 |
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