Organization
CENTRAL PENN REHABILITATION ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C EVANS D.O. (PHYSICIAN)
(814) 231-1220
Entity
Organization
Contact information
Practice address
1520 MARTIN ST, STATE COLLEGE, PA 16803-3058
(814) 231-1220
(814) 231-1222
Mailing address
1520 MARTIN ST, STATE COLLEGE, PA 16803-3058
(814) 231-1220
(814) 231-1222
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010352430001
—
PA
Enumeration date
07/09/2006
Last updated
10/09/2007
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