Individual
MRS. ANGELA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1300 W SILVER SPRING DR, GLENDALE, WI 53209-4415
(414) 228-2810
Mailing address
1300 W SILVER SPRING DR, GLENDALE, WI 53209-4415
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
795019
WI
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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