Revak, Andrew Phillip

Revak, Andrew Phillip is an individual health care provider with primary practice located at 1051 West Ave , Rice Lake WI 54868-2299. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Revak, Andrew Phillip can be contacted via phone (715) 719-0662.

Contact Information

Primary practice address
1051 West Ave Rice Lake WI 54868-2299
Phone: (715) 719-0662
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 13378-24 Wisconsin

Profile Details

NPI number 1659729929
LBN Legal business name Revak, Andrew Phillip
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2016
Last updated Oct 15th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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