DEREK DITZLER MAIN

DENVER, CO
NPI1104070689
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CO  7606)
Enumeration Date2008-11-10
Last Update Date2008-11-10
Business Address
-- DEREK DITZLER MAIN P.T.
563 S VINE ST
DENVER, CO 80209-4638
Phone number: 720-341-0840
Mailing Address
-- DEREK DITZLER MAIN P.T.
563 S VINE ST
DENVER, CO 80209-4638
Phone number: 720-341-0840