Individual
MISS ASHLEY NICOLE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
2239 N ELM ST, MIAMI, OK 74354-1402
(918) 542-5186
Mailing address
2239 N ELM ST, MIAMI, OK 74354-1402
(918) 542-5186
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1543
OK
Other
Enumeration date
12/19/2008
Last updated
12/19/2008
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