Individual
JOHN B. DEVRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2310 CALIFORNIA RD STE A, ELKHART, IN 46514-1228
(574) 206-1401
(574) 262-5183
Mailing address
2310 CALIFORNIA RD STE A, ELKHART, IN 46514-1228
(574) 206-1401
(574) 262-5183
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013050A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300017809
—
IN
Enumeration date
08/07/2018
Last updated
12/03/2019
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