Provider Demographics
NPI:1669496584
Name:MCDEVITT, JANE K (ATC)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:K
Last Name:MCDEVITT
Suffix:
Gender:F
Credentials:ATC
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Other - First Name:
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Mailing Address - Street 1:867 BERKSHIRE BLVD
Mailing Address - Street 2:STE 100
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1280
Mailing Address - Country:US
Mailing Address - Phone:610-685-9600
Mailing Address - Fax:610-685-6700
Practice Address - Street 1:867 BERKSHIRE BLVD
Practice Address - Street 2:STE 100
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1280
Practice Address - Country:US
Practice Address - Phone:610-685-9600
Practice Address - Fax:610-685-6700
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PA2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer