Individual
WAYNE THOMAS EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
125 WILLIAMSON PL, WINCHESTER, VA 22602-6402
(540) 722-0925
Mailing address
125 WILLIAMSON PL, WINCHESTER, VA 22602-6402
(540) 722-0925
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602157
VA
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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