Klein, Ethan

Klein, Ethan is an sole proprietor health care provider with primary practice located at 319 W Town Pl Suite 5, St Augustine FL 32092-3101. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Klein, Ethan can be contacted via phone (904) 342-5262.

Contact Information

Primary practice address
319 W Town Pl Suite 5 St Augustine FL 32092-3101
Phone: (904) 342-5262
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 23511 Florida

Profile Details

NPI number 1841693314
LBN Legal business name Klein, Ethan
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2014
Last updated Sep 29th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers