Individual
MR. EVAN WRIGHT MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
564 MAIN ST, WALTHAM, MA 02452-5516
(781) 894-8880
Mailing address
564 MAIN ST, WALTHAM, MA 02452-5516
(781) 894-8880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23798
MA
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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