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1396052288
BETH S DERTZ
LOWELL, IN
NPI
1396052288
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05010438A)
Enumeration Date
2010-09-13
Last Update Date
2019-04-30
Business Address
BETH S DERTZ PT
1114 E COMMERCIAL AVE
LOWELL, IN 46356-2359
Phone number: 219-690-1048
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Mailing Address
BETH S DERTZ PT
600 OAKMONT LN STE 600C
WESTMONT, IL 60559-5548
Phone number: 574-247-9441
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