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Ethan Carroll
NPI 1548855141 · on the registry since 2021
Practice
- Address
- 6858 Old Dominion Dr Ste 200
Mc Lean, VA 22101 - Phone
- (703) 288-8260
- Organisation at this address
- Medstar Medical Group Ii Llc
Dr. Mark Luposello And Dr. Robert MarzbanInferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia