Individual
JOSE RODNEY EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2209 CARR DR, KOKOMO, IN 46902-9543
(765) 210-0633
Mailing address
2209 CARR DR, KOKOMO, IN 46902-9543
(765) 210-0633
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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