Michael Datiles, DPT Valid NPI

Individual provider · Physical Therapist · Forestville, MD

NPI

1154096766

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

30647 (MD)

Sex

Male

Sole proprietor

No

Enumerated

2021-08-16

Last updated

2025-11-05