Individual
JEFFERY DAVID EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3650 LAKE OTIS PKWY, STE 201, ANCHORAGE, AK 99508-5218
(907) 561-4280
(907) 561-4282
Mailing address
3650 LAKE OTIS PKWY, STE 201, ANCHORAGE, AK 99508-5218
(907) 561-4280
(907) 561-4282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1229
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT55672
—
AK
Enumeration date
05/15/2006
Last updated
05/29/2008
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