National Provider Identifier

Devan Bertch, PTA

Devan Bertch, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Canisteo, NY and a listed phone number of (716) 698-6459.

NPI 1205225190Canisteo, NYPhysical Therapy Assistant

Profile Overview

NPI
1205225190
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
January 14, 2015
Last Updated
January 14, 2015

Practice Location

  • 58 Cliffside Dr
  • Canisteo, NY 14823-1304

Phone: (716) 698-6459

Specialties

  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1205225190
Entity Type
Individual
Last Name
Bertch
First Name
Devan
Credential
PTA
Mailing Street Address
58 Cliffside Dr
Mailing City
Canisteo
Mailing State
NY
Mailing ZIP Code
14823-1304
Mailing Country
US
Mailing Phone
(716) 698-6459
Practice Street Address
58 Cliffside Dr
Practice City
Canisteo
Practice State
NY
Practice ZIP Code
14823-1304
Practice Country
US
Practice Phone
(716) 698-6459
Enumeration Date
January 14, 2015
Last Updated
January 14, 2015
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X)