Edwin L Detweiler, ATC, PTA
NPI #1144539685 in Weatherford, Oklahoma
Provider Information
- NPI Number
- 1144539685
- Entity Type
- Individual
- Name
- Edwin L Detweiler, ATC, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, PTA
- Enumeration Date
- Oct 1, 2010
- Last Updated
- Nov 22, 2011
Practice Location
- Address
- 100 CAMPUS DR
- City
- Weatherford
- State
- Oklahoma
- ZIP Code
- 73096-3001
- Phone
- (864) 616-4448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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