Individual
EVAN MCGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4360 JOHNSON FERRY PL, MARIETTA, GA 30068-2063
(770) 971-5870
Mailing address
2321 S BOLIVAR RD, SPOKANE VALLEY, WA 99037-9425
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013002
GA
225100000X
Physical Therapist
PT60754987
WA
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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