HENRY MATTHEW DEITERS

FORT BRAGG, NC
NPI1699742940
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NC  P9876)
Enumeration Date2006-03-07
Last Update Date2007-07-08
Business Address
-- HENRY MATTHEW DEITERS PT
2817 REILLY RD WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Phone number: 910-907-7538
Mailing Address
-- HENRY MATTHEW DEITERS PT
2817 REILLY RD MCXC COD CREDENTIALS WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Phone number: 910-907-8922
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