Individual
MISS EMILY RUTH DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
900 RIDGE ST, STOUGHTON, WI 53589-1864
(608) 873-2292
(608) 873-2374
Mailing address
900 RIDGE ST, STOUGHTON, WI 53589-1864
(608) 873-2292
(608) 873-2374
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11073-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36188100
—
WI
Enumeration date
08/05/2008
Last updated
11/10/2009
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