Individual
DUSTIN SCOTT DELOACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(269) 873-3203
Mailing address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016739
MI
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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