Casey Evans PTA

NPI 1528292273 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1528292273
Gender Female
Enumeration Date 05/11/2009
Last Updated 05/11/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
140 WALLACE RD
NEW SMYRNA BEACH FL, 32168-8069, US
Phone (386) 427-4866
Fax (386) 427-4456
Business Location
1102 DOUGHERTY ST
NEW SMYRNA BEACH FL, 32168-6050, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State Florida
License Number PTA21659
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According to our database, Casey Evans PTA NPI is 1528292273, taxonomy code is 225200000X and license number is PTA21659, license state is located at Florida. Casey Evans PTA physically located at 140 Wallace Rd, New Smyrna Beach FL, 32168-8069. NPI Number Casey Evans PTA has the Individual type.

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1528292273 NPI number is provided on an as is basis without warranty of any kind. 1528292273 is maintained by the National Plan & Provider Enumeration System. The contents of Casey Evans PTA are for informational purposes only.