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Individual
MS. WANDA KIM EVANS
Active
Individual
MS. WANDA KIM EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
16134
MD
225100000X
Physical Therapist
Primary
2305003281
VA
225100000X
Physical Therapist
PT2059
DC
Other
Enumeration date
02/02/2007
Last updated
12/20/2010
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