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Organization
EVOLUTION PHYSICAL THERAPY & WELLNESS
Active
Organization
EVOLUTION PHYSICAL THERAPY & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA SMITH (PRACTICE MANAGER)
(530) 205-9538
Entity
Organization
Contact information
Practice address
130 W BERRYHILL DR, GRASS VALLEY, CA 95945-5835
(530) 205-9538
Mailing address
130 W BERRYHILL DR, GRASS VALLEY, CA 95945-5835
(530) 205-9538
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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