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Brandon Devalk

Physical Therapist in Thousand Oaks, CA. Individual provider (NPI-1).

NPI number1609623016
StatusActive
Last updated in NPPESMay 2, 2024

Details

NPI
1609623016
Entity type
Individual (NPI-1)
Name
Brandon Devalk
Sex
Male
Sole proprietor
No
Enumeration date
May 2, 2024
Certification date
May 2, 2024
Last updated
May 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist305870CAYes

Practice location

501 Marin St Ste 205
Thousand Oaks, CA 91360-4266

Phone 818-318-2430

Mailing address

406 Wood Ranch Pkwy
Simi Valley, CA 93065-0622

Phone 763-377-1687

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