Organization
EVOLUTION PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVA LARINO (OWNER)
(845) 494-1825
Entity
Organization
Contact information
Practice address
300 N MIDDLETOWN RD STE 2, PEARL RIVER, NY 10965-1295
(845) 494-1825
Mailing address
6 ROCKFORD DR, WEST NYACK, NY 10994-1212
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
027446-1
NY
261QP2000X
Physical Therapy Clinic/Center
030442-1
NY
Other
Enumeration date
01/13/2010
Last updated
06/22/2021
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