Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ETHAN WARCHOL
ActivePhysical Therapy Assistant · KILLINGWORTH, CT
Registration Details
- NPI Number
- 1699248781
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2019 (7.3173509458166 yrs)
- Last Updated
- Jan 10, 2019
- License
-
011556 (CT)
Practice Information
- Address
-
60 LAUREL RIDGE TRLKILLINGWORTH, CT, 064192430Browse CT providers · Browse ZIP 06419
- Phone
- 2036401742
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in KILLINGWORTH, CT
| Name | Credential | NPI |
|---|---|---|
| ANDREA TAYLOR | — | 1518440940 |
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.