Individual
PATRICIA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
26284 OSO RD, SAN JUAN CAPISTRANO, CA 92675-1629
(949) 240-8441
(949) 240-0536
Mailing address
4 DAYLILY, RANCHO SANTA MARGARITA, CA 92688-1442
(949) 240-8441
(949) 240-0536
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT5854
CA
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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