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Individual

MR. STEPHEN EVANGELLO MARTIN MANUEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
5438 ODONOVAN DR, SUITE 100, BATON ROUGE, LA 70808-4364
(225) 769-0818
(225) 769-0819
Mailing address
5438 ODONOVAN DR, BATON ROUGE, LA 70808-4364
(225) 769-0818
(225) 769-0819

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT03638F
LA

Other

Enumeration date
07/19/2006
Last updated
08/20/2013
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