MICHAEL JOHN DEVITT

BOISE, ID
NPI1851455794
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence:   pt-859)
Enumeration Date2006-12-21
Last Update Date2007-07-08
Business Address
Mr. MICHAEL JOHN DEVITT pt
1002 N 13TH ST
BOISE, ID 83702-4111
Phone number: 208-367-1528
Mailing Address
Mr. MICHAEL JOHN DEVITT pt
1002 N 13TH ST
BOISE, ID 83702-4111
Phone number: 208-367-1528