Individual
EVAN JOSEPH BOCKOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3708 MAYFAIR ST STE 110, DURHAM, NC 27707-6223
(984) 215-5090
(984) 215-5095
Mailing address
803 PARKRIDGE RD APT A5, DURHAM, NC 27713-9316
(812) 593-6558
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05015193A
IN
225100000X
Physical Therapist
CP-CP024446T
NC
Other
Enumeration date
09/12/2023
Last updated
03/25/2024
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