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1205225190
DEVAN BERTCH
CANISTEO, NY
NPI
1205225190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 009064-1)
Enumeration Date
2015-01-14
Last Update Date
2015-01-14
Business Address
-- DEVAN BERTCH PTA
58 CLIFFSIDE DR
CANISTEO, NY 14823-1304
Phone number: 716-698-6459
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Mailing Address
-- DEVAN BERTCH PTA
58 CLIFFSIDE DR
CANISTEO, NY 14823-1304
Phone number: 716-698-6459
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