Individual
DR. DEVIN JAMES BEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1400 E TERRY DR BLDG 63, POCATELLO, ID 83209-0001
(208) 282-2590
(833) 499-1813
Mailing address
970 N GREENWILLOW LN, AMMON, ID 83401-1396
(208) 206-3718
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT-6269
ID
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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