EVA JEAN DETTLAFF

GREENFIELD, WI
NPI1992145023
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  1650-19)
Enumeration Date2013-07-03
Last Update Date2013-07-03
Business Address
Ms. EVA JEAN DETTLAFF PTA
3100 W EDGERTON AVE
GREENFIELD, WI 53221-3116
Phone number: 262-302-9412
Mailing Address
Ms. EVA JEAN DETTLAFF PTA
3100 W EDGERTON AVE
GREENFIELD, WI 53221-3116
Phone number: 262-302-9412
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