Organization
EVANS THERAPY SERVICES, LLC
Active
Other names
Evans Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY EVANS (OWNER)
(304) 421-0854
Entity
Organization
Contact information
Practice address
1026 GORDON DR, SOUTH CHARLESTON, WV 25303-2212
(304) 421-0854
Mailing address
1026 GORDON DR, SOUTH CHARLESTON, WV 25303-2212
(304) 421-0854
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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