Individual
THERESE DATTOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DTCM, L.AC
Contact information
Practice address
103 S US HIGHWAY 1 STE B4, JUPITER, FL 33477-5101
(561) 406-6905
Mailing address
5372 EAGLE LAKE DR, PALM BEACH GARDENS, FL 33418-1540
(732) 685-2781
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
4446
FL
Other
Enumeration date
10/18/2023
Last updated
10/19/2023
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