Doctor Name: | MAXINE DEVEAUGH |
NPI Number: | 1114298585 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 19837 |
Business Practice Address: | 1150 Hall Of Fame Ave Suite 3 Springfield, MA - 011052531 |
Business Phone Number: | 4132418900 |
Business Fax Number: | 4132418901 |
Mailing Address: | 210 Commerce Way, Suite 120 PORTSMOUTH |
State: | NH |
Postal Code: | 038018200 |
Phone Number: | 2074392675 |
Fax Number: | 2074394965 |
NPI Enumeration Date: | 01/18/2012 |
NPI Last Update Date: | 02/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 19837 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |