Individual
ANDREA DARLENE EVANCHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT, PCS
Contact information
Practice address
1200 E MICHIGAN AVE STE 145, LANSING, MI 48912-1897
(517) 364-5464
Mailing address
1200 E MICHIGAN AVE STE 145, LANSING, MI 48912-1897
(517) 364-5464
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5501011311
MI
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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