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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ETHAN COLE BALDOCK, PTA

Active

ETHAN COLE BALDOCK, PTA is a Occupational Therapist healthcare provider located in MEMPHIS, Tennessee. NPI 1699294462 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · MEMPHIS, TN

Registration Details

NPI Number
1699294462
Provider Type
Individual
Gender
Male
NPI Issued
Sep 13, 2017 (8.8769009565622 yrs)
Last Updated
Sep 13, 2017
License
6559 (TN)

Practice Information

Address
1789 KIRBY PKWY STE 3
MEMPHIS, TN, 381383657
Browse TN providers · Browse ZIP 38138
Phone
9017591282
Fax
9017591290
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in MEMPHIS, TN

Name Credential NPI
MRS. ERIN TOYE SIMPSON PTA 1285691014
KRISTY MARIE VOGELSANG PTA 1407891492
MRS. TERESA ANNE ANDERSON PTA 1104857325
CATINA M CARSON PTA 1184655011
LEE ROGER CUMMINGS PTA 1629009550
JEREMY GENE HINDMAN PTA 1609807536
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.