MRS. Ellen Deveau, PTA

NPI #1396054326 in Yaphank, New York

Provider Information

NPI Number: 1396054326
Entity Type: Individual
Name: MRS. Ellen Deveau, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 24, 2010
Last Updated: Sep 24, 2010

Practice Location

Address: 430 PATCHOGUE YAPHANK RD
City: Yaphank
State: New York
ZIP Code: 11980-9640
Phone: (631) 924-5583

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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