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Organization

EVANS PHYSICAL THERAPY & SPORT PERFORMANCE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY JAMES EVANS DPT (OWNER)
(803) 839-0406
Entity
Organization

Contact information

Practice address
9456 CHARLOTTE HWY STE 104, INDIAN LAND, SC 29707-7953
(803) 839-0406
(704) 235-1621
Mailing address
4231 SPADEFOOT CT, LANCASTER, SC 29720-0418
(704) 975-0222
(704) 235-1621

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
10/23/2024
Last updated
10/23/2024
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