Individual
CHARITY MCDEVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
219 S MATTESON ST, MAQUOKETA, IA 52060-3119
(563) 357-1060
Mailing address
219 S MATTESON ST, MAQUOKETA, IA 52060-3119
(563) 357-1060
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0001417
IA
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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