Individual
ANDREA LYNN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1035 E LINCOLNWAY, MINERVA, OH 44657-1215
(330) 868-4147
Mailing address
PO BOX 84, WINONA, OH 44493-0084
(330) 224-1074
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5672
OH
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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