Individual
BRENDA J DEVENPORT
Active
Individual
BRENDA J DEVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03968
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000370465
ANTHEM
OH
05
—
2361671
—
OH
01
—
DA4145763
MEDICARE RAILROAD
OH
Enumeration date
11/05/2005
Last updated
11/30/2016
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