Individual
MR. RICK STEVEN DEVORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2424 N WYATT DR # 130, TUCSON, AZ 85712-6115
(520) 784-6200
(520) 784-6109
Mailing address
PO BOX 31630, CREDENTIALING DEPT., TUCSON, AZ 85751-1630
(520) 784-6200
(520) 784-6109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2273
AZ
2251X0800X
Orthopedic Physical Therapist
2273
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155995
—
AZ
Enumeration date
01/02/2007
Last updated
07/03/2013
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