Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN GABRIEL BROWN, PTA
ActiveETHAN GABRIEL BROWN, PTA is a Occupational Therapist healthcare provider located in WAXHAW, North Carolina. NPI 1710676812 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · WAXHAW, NC
Registration Details
- NPI Number
- 1710676812
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2023 (3.2666819687373 yrs)
- Last Updated
- May 4, 2023
- License
-
A8052 (NC)
Practice Information
- Address
-
105 WAXHAW PROFESSIONAL PARK DR STE BWAXHAW, NC, 281735018Browse NC providers · Browse ZIP 28173
- Phone
- 7044594013
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in WAXHAW, NC
| Name | Credential | NPI |
|---|---|---|
| LEANNE LABRECQUE | — | 1538620455 |
| CAROLINE HOWARD | PTA | 1457152308 |
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.