Individual
MRS. PATRICIA LYNN DEVOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
35746 HARPER AVE, CLINTON TWP, MI 48035-3212
(586) 791-9203
(586) 791-9204
Mailing address
12729 NIBLOCK RD, CHESANING, MI 48616-9426
(989) 845-3153
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000025
MI
Other
Enumeration date
06/01/2010
Last updated
06/01/2010
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