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Individual
MR. JOHN DETWEILER
Active
Individual
MR. JOHN DETWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002894L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410856
HIGHMARK
PA
01
—
KHPEO133709000
KEYSTONE HEALTH PLAN EAST
PA
01
—
PC410856
PERSONAL CHOICE
PA
Enumeration date
05/11/2006
Last updated
07/13/2026
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