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Individual
TAMMY L EVANS
Active
Individual
TAMMY L EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
37908
FL
2251P0200X
Pediatric Physical Therapist
37908
FL
2251P0200X
Pediatric Physical Therapist
3841
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112495700
—
FL
05
—
TH1333
—
SC
Enumeration date
12/19/2006
Last updated
09/10/2024
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