Organization
EVOLUTION ALTERNATIVE PHYSICAL THERAPY & WELLNESS STUDIO LLC
Active
Other names
Evolution Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CAMERON J CHEERS (PTA/ VICE PRESIDENT)
(814) 944-6535
Entity
Organization
Contact information
Practice address
2510 7TH AVENUE, ALTOONA, PA 16602-2004
(814) 944-6535
(814) 944-6545
Mailing address
2510 7TH AVENUE, ALTOONA, PA 16602-2004
(814) 944-6535
(814) 944-6545
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012999L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018563450006
—
PA
05
—
103712991-0001
—
PA
05
—
103712991-0002
—
PA
05
—
103723387-0001
—
PA
01
—
P00314995
PALMETTO GBA
PA
Enumeration date
07/22/2006
Last updated
10/02/2024
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