Individual
MS. EVELYN S. CO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
16271 BEACH BLVD, HUNTINGTON BEACH, CA 92647-4102
(714) 375-1755
(714) 375-1757
Mailing address
16271 BEACH BLVD, HUNTINGTON BEACH, CA 92647-4102
(714) 375-1755
(714) 375-1757
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT27309
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT27309
PHYSICAL THERAPIST
CA
Enumeration date
09/20/2007
Last updated
09/20/2007
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