| NPI | 1982484234 |
|---|---|
| Other Name | PAXTON DETTOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P22562) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2025-02-21 |