Doctor Name: | MR. MILAN DEVUSIC |
NPI Number: | 1629370911 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, LAT, CSCS |
License Number: | 6189-24 |
Business Practice Address: | 10400 75th Street Kenosha, WI - 53142 |
Business Phone Number: | 2629487045 |
Business Fax Number: | 2629487331 |
Mailing Address: | 10400 75th St, KENOSHA |
State: | WI |
Postal Code: | 531427884 |
Phone Number: | 2629487045 |
Fax Number: | 2629487331 |
NPI Enumeration Date: | 11/19/2010 |
NPI Last Update Date: | 11/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6189-24 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |