Individual
BROOKE M EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
642 S ALASKA ST, PALMER, AK 99645-6342
(907) 746-0722
Mailing address
3725 W 4100 S, WEST VALLEY CITY, UT 84120-5530
(801) 679-0123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-3040
ID
Other
Enumeration date
12/10/2012
Last updated
09/01/2016
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