Individual
EVAN MICHAEL MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1509 FAIRMONT AVE, FAIRMONT, WV 26554-2135
(304) 363-0050
Mailing address
1509 FAIRMONT AVE, FAIRMONT, WV 26554-2135
(304) 363-0050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WV
225100000X
Physical Therapist
—
—
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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