Individual
EVA QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 COCHRANE CIR UNIT MEDDAC, COLORADO SPRINGS, CO 80913-4604
(719) 691-5231
Mailing address
5208 MOUNTAIN AIR CIR, COLORADO SPRINGS, CO 80916-5559
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0018669
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/08/2021
Last updated
09/10/2025
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