Individual
MICHELE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
712 IVYLAND RD, WARMINSTER, PA 18974-2224
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE003041L
PA
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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