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1811412778
DALTON DERTHICK
TEMPE, AZ
NPI
1811412778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: AZ 13226PT)
Enumeration Date
2017-08-11
Last Update Date
2017-09-06
Business Address
DALTON DERTHICK PT, DPT, CSCS
4703 S LAKESHORE DR STE 2
TEMPE, AZ 85282-7159
Phone number: 480-718-9493
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Mailing Address
DALTON DERTHICK PT, DPT, CSCS
4703 S LAKESHORE DR STE 2
TEMPE, AZ 85282-7159
Phone number:
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