Individual
CALVIN DETWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
254 RED CEDAR ST, BLUFFTON, SC 29910-8967
(843) 970-2899
(843) 815-6998
Mailing address
254 RED CEDAR ST, BLUFFTON, SC 29910-8967
(843) 970-2899
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4205
SC
Other
Enumeration date
10/05/2019
Last updated
10/05/2019
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