| Ethan Edward Stump, PT | |
|
2170 Commerce Dr, Bluffton, IN 46714-9292 | |
| (260) 824-0522 | |
| (260) 824-0522 |
| Full Name | Ethan Edward Stump |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 2170 Commerce Dr, Bluffton, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467341123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 31008755A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Edward Stump, PT 4251 Lahmeyer Rd, Fort Wayne, IN 46815-5676 Ph: (260) 432-4700 | Ethan Edward Stump, PT 2170 Commerce Dr, Bluffton, IN 46714-9292 Ph: (260) 824-0522 |
Erica Jane Roberts, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 South Main Street, Bluffton, IN 46714 Phone: 260-824-3210 | |
Mr. Edwin Jingco Aguila, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1529 Lancaster St, Bluffton, IN 46714 Phone: 260-824-4320 |