Individual
EVAN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
531 VIRGINIA ST, BUFFALO, NY 14202-1450
(716) 332-4838
Mailing address
531 VIRGINIA ST, BUFFALO, NY 14202-1450
(716) 332-4838
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
014228-01
NY
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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