Individual
KEVIN DEVRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5114 ARGIANO XING, FORT WAYNE, IN 46845-8890
(260) 409-8367
Mailing address
5114 ARGIANO XING, FORT WAYNE, IN 46845-8890
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004802A
IN
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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