Individual
EMILY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(978) 821-4416
Mailing address
235 LAFAYETTE ST, APT 4, SALEM, MA 01970-4780
(978) 821-4416
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21043
MA
225100000X
Physical Therapist
32614
CA
Other
Enumeration date
10/13/2014
Last updated
10/14/2014
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