Devin Douvier, | |
50 Mount Prospect Ave Ste 207, Clifton, NJ 07013-1900 | |
(201) 464-4749 | |
Not Available |
Full Name | Devin Douvier |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 50 Mount Prospect Ave Ste 207, Clifton, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568173755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Jag-one Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1518017144 PECOS PAC ID: 2769584325 Enrollment ID: O20070228000306 |
Mailing Address | Practice Location Address |
---|---|
Devin Douvier, 981 Us Highway 22, Bridgewater, NJ 08807-2946 Ph: () - | Devin Douvier, 50 Mount Prospect Ave Ste 207, Clifton, NJ 07013-1900 Ph: (201) 464-4749 |
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