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Mr. Ethan M Kreiswirth, MA,ATC
Specialist in Carson, California
NPI 1336249978

Ethan M Kreiswirth is a Specialist based in Hawthorne, CA. Ethan M Kreiswirth practices in Carson, CA and has the professional credentials of MA,ATC. The NPI Number for Ethan M Kreiswirth is 1336249978 and holds a License No. (California).

The current practice location address for Ethan M Kreiswirth is Cal State Dominguez Hls, Carson, CA and can be reached out via phone at 310-243-3894.

Location: Cal State Dominguez Hls, Carson, CA, 90250-4128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336249978
Provider Name
Ethan M Kreiswirth
Credential
MA,ATC
Provider Entity Type
Individual
Gender
Male
Address
Cal State Dominguez Hls, Carson, CA, 90250-4128
Phone Number
310-243-3894
Fax Number
Provider Enumeration Date
09/24/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
Cal State Dominguez Hls
City
Carson
State
California
Zip
90747-0001
Phone Number
310-243-3894
Fax Number
person
Provider Business Mailing Address Details
Address
Cal State Dominguez Hls
City
Carson
State
California
Zip
90747-0001
Phone Number
310-243-3894
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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