Individual
DEREK DITZLER MAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
563 S VINE ST, DENVER, CO 80209-4638
(720) 341-0840
Mailing address
563 S VINE ST, DENVER, CO 80209-4638
(720) 341-0840
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7606
CO
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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