Individual
MRS. LORI E EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1441 CONSTITUTION BLVD, BLDG 100, SALINAS, CA 93906-3100
(831) 755-5570
Mailing address
971 APRICOT LN, HOLLISTER, CA 95023-4413
(831) 636-3646
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 286
CA
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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