Individual
EVAN MOTLONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 NW 25TH ST, MIAMI, FL 33127-4341
(303) 993-9884
Mailing address
240 NW 25TH ST, MIAMI, FL 33127-4341
(303) 993-9884
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
64894
OR
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
07/14/2022
Last updated
09/23/2024
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