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NPI Code Detail

MEDICARE: MS. REBECCA JEANNE DEVOE PT

MEDICARE: MS. REBECCA JEANNE DEVOE PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist10529NC

General Provider Information

NPI Number : 1578523494
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. REBECCA JEANNE DEVOE PT
Provider Business Mailing Address
First Line : 1208 HIGHWAY 81 N
Second Line :
City : JONESBOROUGH
State : TN
Zip : 37659-4544
Country : US
Telephone Number : 423-753-2811
Fax Number :
Provider Business Practice Location Address
First Line : 110 MAIN ST
Second Line :
City : OXFORD
State : NC
Zip : 27565-3319
Country : US
Telephone Number : 919-603-5400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 07/08/2007

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