CALVIN DETWILER

BLUFFTON, SC
NPI1235770736
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  4205)
Enumeration Date2019-10-05
Last Update Date2019-10-05
Business Address
CALVIN DETWILER PTA
254 RED CEDAR ST
BLUFFTON, SC 29910-8967
Phone number: 843-970-2899
Mailing Address
CALVIN DETWILER PTA
254 RED CEDAR ST
BLUFFTON, SC 29910-8967
Phone number: 843-970-2899