Individual
MRS. MARIA TERASE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
10385 BORDELON ST, SAN DIEGO, CA 92124-3208
(202) 246-8809
Mailing address
10385 BORDELON ST, SAN DIEGO, CA 92124-3208
(540) 209-6351
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601721
VA
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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