Individual
LOUANN SHINN-EVINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13830 58TH STREET NORTH, SUITE 409, CLEARWATER, FL 33760-3720
(727) 532-1900
(727) 532-4300
Mailing address
13830 58TH STREET NORTH, SUITE 409, CLEARWATER, FL 33760-3720
(727) 532-1900
(727) 532-4300
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA 1158
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA 1158
PHYSICAL THERAPY
FL
Enumeration date
02/03/2012
Last updated
02/03/2012
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