Individual
SARA BETH DETWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
525 N SANTIAM HWY, PHYSICAL THERAPY AND REHAB MEDICINE, LEBANON, OR 97355-4363
(541) 258-2101
Mailing address
PO BOX 455, APT. 2I, FOLLY BEACH, SC 29439-0455
(660) 349-9730
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6245
SC
Other
Enumeration date
08/19/2010
Last updated
08/06/2012
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