Individual
BETTY WARING EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSPT
Contact information
Practice address
43 PANAMA STREET, HARPERS FERRY, WV 25425
(304) 535-2400
(304) 535-2424
Mailing address
12700 TAYLORS VALLEY LN, LOVETTSVILLE, VA 20180-2255
(540) 822-9057
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2494
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104834431
WORKERS COMPENSATION
WV
Enumeration date
08/03/2006
Last updated
08/30/2007
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