Individual
MICHAEL EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
665 E FRENCH AVE, ORANGE CITY, FL 32763-5211
(386) 956-2814
Mailing address
665 E FRENCH AVE, ORANGE CITY, FL 32763-5211
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
27107
FL
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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