Edan M Devora D.P.T.

NPI 1205141074 - Physical Therapist - 225100000X

NPI Details
NPI 1205141074
Gender Male
Enumeration Date 08/17/2010
Last Updated 08/17/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
5475 E LA PALMA AVE
200
ANAHEIM CA, 92807-2075, US
Phone (714) 701-0479
Fax
Business Location
293 N STATE COLLEGE BLVD
APT 4058
ORANGE CA, 92868-5700, US
Phone (210) 364-1493
Fax
Toxanomy
Taxonomy Code 225100000X
License State California
License Number 36970
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According to our database, Edan M Devora D.P.T. NPI is 1205141074, taxonomy code is 225100000X and license number is 36970, license state is located at California. Edan M Devora D.P.T. physically located at 5475 E La Palma Ave, Anaheim CA, 92807-2075. NPI Number Edan M Devora D.P.T. has the Individual type.

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1205141074 NPI number is provided on an as is basis without warranty of any kind. 1205141074 is maintained by the National Plan & Provider Enumeration System. The contents of Edan M Devora D.P.T. are for informational purposes only.