Anderson, Ethan

Anderson, Ethan is an individual health care provider with primary practice located at 7707 W Deer Valley Rd Suite 100, Peoria AZ 85382-2101. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Anderson, Ethan can be contacted via phone (623) 376-9100.

Contact Information

Primary practice address
7707 W Deer Valley Rd Suite 100 Peoria AZ 85382-2101
Phone: (623) 376-9100
Fax: (623) 376-9141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 12383 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X

Profile Details

NPI number 1063966554
LBN Legal business name Anderson, Ethan
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2016
Last updated Aug 12th, 2016 - about 10 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.

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