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1710403522
ZACHARY DETSCH
ORANGEBURG, SC
NPI
1710403522
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 8713)
Enumeration Date
2017-08-15
Last Update Date
2017-08-15
Business Address
ZACHARY DETSCH DPT
119 OFFICE PARK DR
ORANGEBURG, SC 29118-2407
Phone number: 803-536-5509
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Mailing Address
ZACHARY DETSCH DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2222
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