Individual
CHARLOTTE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
50 BLYMYER AVENUE, MANSFIELD, OH 44903
(419) 774-5100
Mailing address
421 PARKVIEW STREET, MANSFIELD, OH 44903
(419) 566-4151
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5009
OH
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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