Individual
MR. CHAD EDWARD EVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
575 S CLEVELAND MASSILLON RD, THERAPY DEPT., FAIRLAWN, OH 44333-3019
(330) 666-5866
(330) 666-3215
Mailing address
6291 COX ST, RAVENNA, OH 44266-1561
(330) 346-0496
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
04933
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0139424
—
OH
Enumeration date
07/11/2007
Last updated
07/11/2007
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