Individual
JAELYN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1150 S MAIN AVE STE 101, SCRANTON, PA 18504-2957
(570) 207-2787
Mailing address
1424 MAPLE ST, SCRANTON, PA 18505-2706
(570) 468-7574
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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