Individual
MR. HAROLD JACKSON DELOTELLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
2191 BASSETT CT, BEAVERCREEK, OH 45434-7089
(937) 427-0606
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
—
—
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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