Individual
MICHAEL DATILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2950 DONNELL DR STE G, FORESTVILLE, MD 20747-3277
(240) 492-3410
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305214541
VA
225100000X
Physical Therapist
Primary
30647
MD
Other
Enumeration date
08/16/2021
Last updated
11/05/2025
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