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Individual

JOANNE MARIE DEVIN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
85 MILL ST, BROCKTON, MA 02301-5587
(508) 583-4884
Mailing address
186 BOLIVAR ST, CANTON, MA 02021-3102
(781) 821-6595
(508) 583-1138

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4470
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0349445
MA
Enumeration date
12/05/2005
Last updated
07/08/2007
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