Individual
MICHAEL DANIEL EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
815 NW 12TH ST, OKLAHOMA CITY, OK 73106-6802
(405) 230-9575
(405) 228-2569
Mailing address
815 NW 12TH ST, OKLAHOMA CITY, OK 73106-6802
(405) 230-9575
(405) 228-2569
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2298
OK
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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