Individual
MICHAEL CHRISTOPHER DETTLAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
101 GREEN CEDAR LN, CHAPEL HILL, NC 27517-7222
(919) 275-5998
Mailing address
1205 BRANUM CT, APEX, NC 27523-5527
(919) 275-5998
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7838
NC
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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