Individual
KATHERINE VAN DEVEIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, OCS
Contact information
Practice address
843 BOLTON RD, UNIT 1249, STORRS, CT 06269-1249
(860) 486-8080
(860) 486-8081
Mailing address
843 BOLTON RD, UNIT 1249, STORRS, CT 06269-1249
(860) 486-8080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009143
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009143
CT LICENSE
CT
Enumeration date
07/11/2011
Last updated
03/18/2015
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