| NPI | 1811207665 |
|---|---|
| Former Name | CASEY J DEVRIES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-018157) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 10619) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2018-05-29 |