Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN C BURKE, DPT
ActivePhysical Therapy Assistant · BRUNSWICK, ME
Registration Details
- NPI Number
- 1215592910
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 8, 2019 (6.9752516377514 yrs)
- Last Updated
- Sep 26, 2022
- Licenses
-
4504 (NH)PT5572 (ME)
Practice Information
- Address
-
114 BATH RD STE 201BRUNSWICK, ME, 040112606Browse ME providers · Browse ZIP 04011
- Phone
- 2078848923
- Fax
- 2078848972
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in BRUNSWICK, ME
| Name | Credential | NPI |
|---|---|---|
| STEPHEN R VANCE | PT, CHT | 1043210875 |
| ERICA L SKOLNEKOVICH | P.T. | 1659355857 |
| MR. CHRISTOPHER H WHITE | BS | 1801867718 |
| MR. LAWRENCE ANDREW LARSON | P.T. | 1598728966 |
| TERRANCE PRESTON PRATT | PT | 1215994066 |
| DALLAS S HARTWIG | PT | 1144277963 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.