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DEMOTRIS DWAYNE DE VALK JR.

Deactivated

DEMOTRIS DWAYNE DE VALK JR. is a Physical Therapy Assistant healthcare provider located in MOUNT PLEASANT, Wisconsin. NPI 1235797341 is deactivated in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MOUNT PLEASANT, WI

This NPI has been deactivated. The record was deactivated on June 4, 2019. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1235797341
Provider Type
Individual
Gender
Male
NPI Issued
Jun 4, 2019
Last Updated
Nov 2, 2023
Deactivated
Jun 4, 2019
License
16408 (WI)

Practice Information

Address
13250 WASHINGTON AVE
MOUNT PLEASANT, WI, 531771516
Browse WI providers · Browse ZIP 53177
Phone
2627998330
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in MOUNT PLEASANT, WI

Name Credential NPI
MR. DANIEL JAMES GAGE PHYSICAL THERAPIST 1639176431
DIANNA MARIE HANSON PT 1982667853
MRS. ELIZABETH MELIS PT 1104854447
MRS. JEANETTE MARIE DE WITT PT, ATC 1528087442
JANIKA N HENOCH 1912920398
MRS. KIMBERLY LYNN ARBINGER PT 1609983097
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.