David Dettinger, P.T.

NPI #1932653144 in Mequon, Wisconsin

Provider Information

NPI Number: 1932653144
Entity Type: Individual
Name: David Dettinger, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Aug 5, 2016
Last Updated: Aug 5, 2016

Practice Location

Address: 1249 W LIEBAU RD
City: Mequon
State: Wisconsin
ZIP Code: 53092-3396
Phone: (262) 243-4161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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