Individual
OLIVIA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4008 WINTER SPRINGS DR, FORT WORTH, TX 76123-3409
(817) 477-7051
Mailing address
4008 WINTER SPRINGS DR, FORT WORTH, TX 76123-3409
(817) 477-7051
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2185012
TX
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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