DOUGLAS PATRICK BEVILACQUA

NORTHVILLE, MI
NPI1891297883
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502000232)
Enumeration Date2018-03-06
Last Update Date2022-07-21
Business Address
DOUGLAS PATRICK BEVILACQUA
39901 TRADITIONS DR
NORTHVILLE, MI 48168-9493
Phone number: 248-305-4400
Mailing Address
DOUGLAS PATRICK BEVILACQUA
36053 ALLEN ST
LIVONIA, MI 48154-5212
Phone number:
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