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Individual
MICHAEL DEVOLL LOEW
Active
Individual
MICHAEL DEVOLL LOEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14306-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14306-24
PHYSICAL THERAPY LICENSE
WI
01
—
PT017466
PHYSICAL THERAPY LICENSE
OH
Enumeration date
07/18/2018
Last updated
07/18/2018
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