Richard J. Deaver, P.T.

NPI #1255508917 in Three Lakes, Wisconsin

Provider Information

NPI Number: 1255508917
Entity Type: Individual
Name: Richard J. Deaver, P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: May 13, 2008
Last Updated: May 13, 2008

Practice Location

Address: 7754 BRAEGER RD
City: Three Lakes
State: Wisconsin
ZIP Code: 54562-9207
Phone: (715) 546-8026

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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