Individual
CONARD DEVERL REYBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17615 E MOORE RD, GRANT, MI 49327
(231) 834-0208
Mailing address
17615 E MOORE RD, GRANT, MI 49327
(231) 834-0208
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502009002
MI
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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