Individual
MR. BARRY A EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3030 NW EXPRESSWAY ST, SUITE 809, OKLAHOMA CITY, OK 73112-5474
(866) 848-8813
Mailing address
8112 E MADISON ST, BROKEN ARROW, OK 74014-7440
(918) 357-2497
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2770
OK
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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