Individual
JEREMY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
740 W FIRE TOWER RD STE 113, WINTERVILLE, NC 28590-8411
(252) 329-8800
Mailing address
607 DEWEY AVE NW STE 300, GRAND RAPIDS, MI 49504-7335
(616) 356-5000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P16570
NC
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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