Individual
MRS. ELLEN DEVEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
430 PATCHOGUE YAPHANK RD, YAPHANK, NY 11980-9640
(631) 924-5583
Mailing address
295 FAIRVIEW CIR, MIDDLE ISLAND, NY 11953-2360
(631) 345-6225
(631) 345-6225
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000122
NY
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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