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Search › North Carolina › 225200000X

Ethan Brown, PTA

NPI 1710676812 · on the registry since 2023

Practice

Address
105 Waxhaw Professional Park Dr Ste B
Waxhaw, NC 28173
Phone
(704) 459-4013
Organisation at this address
Southeast Child & Family Guidance, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-04

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 North Carolina