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Individual

DR. MATT EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT. DPT

Contact information

Practice address
1889 KNOLL DR, VENTURA, CA 93003-7348
(805) 644-1591
(805) 644-1593
Mailing address
1889 KNOLL DR, VENTURA, CA 93003-7348
(805) 644-1591
(805) 644-1593

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT35247
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT35247
STATE LICENCE
CA
Enumeration date
01/05/2009
Last updated
12/21/2020
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