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Individual

KEVIN DEVENNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
70-76 PASSAIC AVE, FLORHAM PARK, NJ 07932-3041
(973) 660-1000
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
NJ

Other

Enumeration date
11/29/2022
Last updated
11/29/2022
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