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Patsy Devereaux
Respiratory/Developmental/Rehabilitative Specialist/Technologist in Council Bluffs, Iowa
NPI 1801099940

Patsy Devereaux is a Respiratory/Developmental/Rehabilitative Specialist/Technologist based in Council Bluffs, IA. Patsy Devereaux practices in Council Bluffs, IA. The NPI Number for Patsy Devereaux is 1801099940 and holds a License No. 683 (Iowa).

The current practice location address for Patsy Devereaux is 15362 Kathy Cir, Council Bluffs, IA and can be reached out via phone at 402-689-1354.

Location: 15362 Kathy Cir, Council Bluffs, IA, 51503-5806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801099940
Provider Name
Patsy Devereaux
Credential
Provider Entity Type
Individual
Gender
Female
Address
15362 Kathy Cir, Council Bluffs, IA, 51503-5806
Phone Number
402-689-1354
Fax Number
Provider Enumeration Date
06/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
683 01 NE STATE LICENSE NUMBER
793 01 IA STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
15362 Kathy Cir
City
Council Bluffs
State
Iowa
Zip
51503-5806
Phone Number
402-689-1354
Fax Number
person
Provider Business Mailing Address Details
Address
15362 Kathy Cir
City
Council Bluffs
State
Iowa
Zip
51503-5806
Phone Number
402-689-1354
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Specialist/Technologist
Speciality
-
Taxonomy
225500000X
License No.
683 (Nebraska)
Definition
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
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