Individual
RICHARD DUTTWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
759 45TH AVE, STE. 202, MUNSTER, IN 46321-2939
(219) 836-0193
(219) 836-2452
Mailing address
1040 SIERRA DR, STE 400, GREENWOOD, IN 46143-7241
(317) 865-8540
(317) 865-8317
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05001602A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200530270
—
IN
Enumeration date
06/07/2006
Last updated
03/05/2019
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