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1891347589
ERIC WILLIAM DETTWEILER
SOUTHLAKE, TX
NPI
1891347589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1151540)
Enumeration Date
2019-07-12
Last Update Date
2019-07-12
Business Address
ERIC WILLIAM DETTWEILER PT
2001 KIRKWOOD BLVD
SOUTHLAKE, TX 76092-1590
Phone number: 817-562-1648
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Mailing Address
ERIC WILLIAM DETTWEILER PT
2001 KIRKWOOD BLVD
SOUTHLAKE, TX 76092-1590
Phone number: 817-562-1648
Copy
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