MS. Eva Jean Dettlaff, PTA
NPI #1992145023 in Greenfield, Wisconsin
Provider Information
- NPI Number
- 1992145023
- Entity Type
- Individual
- Name
- MS. Eva Jean Dettlaff, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jul 3, 2013
- Last Updated
- Jul 3, 2013
Practice Location
- Address
- 3100 W EDGERTON AVE
- City
- Greenfield
- State
- Wisconsin
- ZIP Code
- 53221-3116
- Phone
- (262) 302-9412
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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