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1679048482
JAMES JOSEPH DETWILER IBACH
MILFORD, DE
NPI
1679048482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: DE J2-0001279)
Enumeration Date
2018-10-08
Last Update Date
2018-10-08
Business Address
JAMES JOSEPH DETWILER IBACH LPTA
907 N DUPONT BLVD STE 104
MILFORD, DE 19963-1060
Phone number: 302-422-2518
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Mailing Address
JAMES JOSEPH DETWILER IBACH LPTA
507 S WALNUT ST
MILFORD, DE 19963-2329
Phone number: 302-258-9676
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