Individual
LAURA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12035 REISTERSTOWN RD, REISTERSTOWN, MD 21136-3042
(908) 892-0534
Mailing address
5303 COLUMBIA RD APT B, COLUMBIA, MD 21044-1549
(908) 892-0534
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
23566
MD
Other
Enumeration date
07/09/2018
Last updated
02/28/2019
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