Individual provider · Type 1 NPI

Douglas Patrick Bevilacqua

Physical Therapy Assistant · Northville, MI

NPI number 1891297883 Active

Practice location

39901 Traditions Dr
Northville, MI 48168-9493

Call (248) 305-4400 Map

Fax (248) 305-4401

Mailing address

36053 Allen St
Livonia, MI 48154-5212

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502000232 (MI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1891297883

Douglas Patrick Bevilacqua's National Provider Identifier is 1891297883, issued on Mar 6, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Northville, MI. The record was last updated on Jul 21, 2022.