DALTON DERTHICK

TEMPE, AZ
NPI1811412778
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: AZ  13226PT)
Enumeration Date2017-08-11
Last Update Date2017-09-06
Business Address
DALTON DERTHICK PT, DPT, CSCS
4703 S LAKESHORE DR STE 2
TEMPE, AZ 85282-7159
Phone number: 480-718-9493
Mailing Address
DALTON DERTHICK PT, DPT, CSCS
4703 S LAKESHORE DR STE 2
TEMPE, AZ 85282-7159
Phone number: