Individual
EVAN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
238 EDGARTOWN-VINEYARD HAVEN RD, EDGARTOWN, MA 02539
(508) 693-3800
Mailing address
4254 E SERVICE RD, CERES, CA 95307-9701
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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