Individual
MR. ARMAND W DETHOMAS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
707 N MAIN ST, GLASSBORO, NJ 08028-1605
(856) 307-9700
Mailing address
115 MAIN ST, CEDARVILLE, NJ 08311-2535
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA01224300
NJ
225100000X
Physical Therapist
Primary
PT021695
PA
Other
Enumeration date
11/06/2006
Last updated
09/24/2024
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