MR. Michael G Van Pevenage, RPT
NPI #1184789703 in Davenport, Washington
Provider Information
- NPI Number
- 1184789703
- Entity Type
- Individual
- Name
- MR. Michael G Van Pevenage, RPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- RPT
- Enumeration Date
- Dec 26, 2006
- Last Updated
- Oct 19, 2012
Practice Location
- Address
- 506 MORGAN STREET
- City
- Davenport
- State
- Washington
- ZIP Code
- 99122
- Phone
- (509) 725-7325
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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