Individual
PAUL EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
7900 AIRWAYS BLVD BLDG A, STE 2, SOUTHAVEN, MS 38671-4113
(662) 536-4096
(662) 536-4099
Mailing address
6263 POPLAR AVE, STE 801, MEMPHIS, TN 38119-4701
(901) 685-7227
(267) 321-2079
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
7622
TN
225100000X
Physical Therapist
Primary
PT3737
MS
Other
Enumeration date
05/06/2008
Last updated
11/14/2008
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