Individual
DALE JOSEPH WALTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
26850 PROVIDENCE PKWY, SUITE 365, NOVI, MI 48374-1213
(248) 380-3550
(248) 380-1620
Mailing address
26850 PROVIDENCE PKWY, SUITE 365, NOVI, MI 48374-1213
(248) 380-3550
(248) 380-1620
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010533
MI
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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