MICHAEL DETTER

TULSA, OK
NPI1609289925
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OK  4824)
Enumeration Date2014-06-04
Last Update Date2014-06-04
Business Address
-- MICHAEL DETTER DPT
4812 E 33RD ST
TULSA, OK 74135-2038
Phone number: 918-622-4126
Mailing Address
-- MICHAEL DETTER DPT
4812 E 33RD ST
TULSA, OK 74135-2038
Phone number: 918-622-4126