DALTON DERTHICK, PT, DPT, CSCS
Physical Medicine & Rehabilitation
Active
Individual
NPI: 1811412778
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Medicine & Rehabilitation | 208100000X | Yes | 13226PT (AZ) |
Frequently Asked Questions
NPI 1811412778 is the National Provider Identifier for DALTON DERTHICK, PT, DPT, CSCS, a Physical Medicine & Rehabilitation provider located in Tempe, AZ. This NPI was enumerated on August 11, 2017.
DALTON DERTHICK, PT, DPT, CSCS practices at 4703 S LAKESHORE DR STE 2, Tempe, AZ 85282.
Quick Facts
- NPI
- 1811412778
- Type
- Individual
- Enumerated
- Aug 11, 2017
- Last Updated
- Sep 6, 2017
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