Andrew Phillip Revak, DPT

NPI #1659729929 in Rice Lake, Wisconsin

Provider Information

NPI Number: 1659729929
Entity Type: Individual
Name: Andrew Phillip Revak, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: May 27, 2016
Last Updated: Oct 15, 2018

Practice Location

Address: 1051 WEST AVE
City: Rice Lake
State: Wisconsin
ZIP Code: 54868-2299
Phone: (715) 719-0662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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