Richard Edward Devine PHYSICAL THERAPIST

NPI 1134210990 - Physical Therapist - 225100000X

NPI Details
NPI 1134210990
Gender Male
Enumeration Date 09/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4560 SE INTERNATIONAL WAY
CONSONUS REHAB SERVICES
MILWAUKIE OR, 97222, US
Phone (971) 206-5140
Fax (971) 206-5209
Business Location
4560 SE INTERNATIONAL WAY
MILWAUKIE OR, 97222, US
Phone (971) 206-5140
Fax (971) 206-5209
Toxanomy
Taxonomy Code 225100000X
License State California
License Number 798
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According to our database, Richard Edward Devine PHYSICAL THERAPIST NPI is 1134210990, taxonomy code is 225100000X and license number is 798, license state is located at California. Richard Edward Devine PHYSICAL THERAPIST physically located at 4560 Se International Way, Milwaukie OR, 97222. NPI Number Richard Edward Devine PHYSICAL THERAPIST has the Individual type.

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1134210990 NPI number is provided on an as is basis without warranty of any kind. 1134210990 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Edward Devine PHYSICAL THERAPIST are for informational purposes only.