Individual
AMY DEVERNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3993 EDINBURGH CT, GENOA, OH 43430-9602
(419) 250-4132
Mailing address
3993 EDINBURGH CT, GENOA, OH 43430-9602
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-3125
OH
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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