Individual
MCKENNA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4022 E GREENWAY RD STE 1, PHOENIX, AZ 85032-4798
(480) 719-1644
Mailing address
1055 W BASELINE RD, MESA, AZ 85210-9502
(612) 387-6080
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
014337
AZ
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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