NICHOLAS A DETRICK

JBSA LACKLAND, TX
NPI1306360797
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  293415)
Enumeration Date2017-07-28
Last Update Date2022-07-18
Business Address
DR. NICHOLAS A DETRICK DPT
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-7395
Mailing Address
DR. NICHOLAS A DETRICK DPT
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-7395