Individual
BETH EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 MCCREARY RD, WYLIE, TX 75098-8776
(972) 442-6776
Mailing address
1420 MCCREARY RD, WYLIE, TX 75098-8776
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1183151
TX
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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