Eustaquio Ibias Devilla, PHYSICAL THERAPIST
NPI #1598951493 in Midlothian, Virginia
Provider Information
- NPI Number
- 1598951493
- Entity Type
- Individual
- Name
- Eustaquio Ibias Devilla, PHYSICAL THERAPIST
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Emergency Medical Technician, Basic
- Credential
- PHYSICAL THERAPIST
- Enumeration Date
- Sep 25, 2007
- Last Updated
- Sep 25, 2007
Practice Location
- Address
- 2401 TOMAHAWK MEADOWS DR
- City
- Midlothian
- State
- Virginia
- ZIP Code
- 23112-4290
- Phone
- (757) 589-5264
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medical Technician, Basic |
| Physical Therapist |
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|---|---|
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