Eric William Dettweiler, PT

NPI #1891347589 in Southlake, Texas

Provider Information

NPI Number: 1891347589
Entity Type: Individual
Name: Eric William Dettweiler, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 12, 2019
Last Updated: Jul 12, 2019

Practice Location

Address: 2001 KIRKWOOD BLVD
City: Southlake
State: Texas
ZIP Code: 76092-1590
Phone: (817) 562-1648

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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