Melissa Deanne Dethloff, MPT

NPI #1093727794 in Simi Valley, California

Provider Information

NPI Number: 1093727794
Entity Type: Individual
Name: Melissa Deanne Dethloff, MPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Aug 12, 2006
Last Updated: Mar 19, 2008

Practice Location

Address: 2315 KUEHNER DR
Address 2: #115
City: Simi Valley
State: California
ZIP Code: 93063-3900
Phone: (805) 823-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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