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Michael D. Devito, PT

Physical Therapist in Dumont, NJ. Individual provider (NPI-1).

NPI number1194036863
StatusActive
Last updated in NPPESJul 27, 2010

Details

NPI
1194036863
Entity type
Individual (NPI-1)
Name
Mr. Michael D. Devito
Credential
PT
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 28, 2010
Last updated
Jul 27, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist40QA00547400NJYes

Practice location

35 Oneida Ave
Dumont, NJ 07628-2109

Phone 201-723-9986

Mailing address

35 Oneida Ave
Dumont, NJ 07628-2109

Phone 201-723-9986

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