Provider Demographics
NPI:1245843911
Name:FINNEGAN, DEVIN A (PT,DPT)
Entity type:Individual
Prefix:
First Name:DEVIN
Middle Name:A
Last Name:FINNEGAN
Suffix:
Gender:F
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14107 WINCHESTER BLVD STE O
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1836
Mailing Address - Country:US
Mailing Address - Phone:408-868-5577
Mailing Address - Fax:
Practice Address - Street 1:14107 WINCHESTER BLVD STE O
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1836
Practice Address - Country:US
Practice Address - Phone:408-868-5577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-24
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3018642251X0800X
RIPT033012251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic