Individual
BARBARA W EVANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
674 UNIONVILLE RD STE 101, KENNETT SQUARE, PA 19348-4712
(610) 925-4856
(610) 925-4859
Mailing address
2 W 10TH ST, MARCUS HOOK, PA 19061-4513
(610) 859-8850
(610) 859-7876
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015539
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002123074
HIGHMARK PABS
PA
05
—
102379116-0001
—
PA
01
—
30070460
KEYSTONE MERCY
PA
01
—
306143
UNISON
—
01
—
3740718000
IBC
PA
Enumeration date
06/23/2008
Last updated
09/18/2012
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