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Individual

CASEY EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
140 WALLACE RD, NEW SMYRNA BEACH, FL 32168-8069
(386) 427-4866
(386) 427-4456
Mailing address
1102 DOUGHERTY ST, NEW SMYRNA BEACH, FL 32168-6050

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21659
FL

Other

Enumeration date
05/11/2009
Last updated
05/11/2009
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