Douglas Patrick Bevilacqua
NPI #1891297883 in Northville, Michigan
Provider Information
- NPI Number
- 1891297883
- Entity Type
- Individual
- Name
- Douglas Patrick Bevilacqua
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Mar 6, 2018
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 39901 TRADITIONS DR
- City
- Northville
- State
- Michigan
- ZIP Code
- 48168-9493
- Phone
- (248) 305-4400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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