Individual
DEVIN PETER DEBOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3491 LINCOLN RD, HAMILTON, MI 49419-9512
(269) 751-2150
Mailing address
128 CENTRAL AVENUE, ZEELAND, MI 49464
(616) 772-0936
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501008416
MI
Other
Enumeration date
10/14/2006
Last updated
07/08/2007
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