TOM EVANICH

LOGANSPORT, IN
NPI1275757627
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06002169A)
Enumeration Date2007-04-13
Last Update Date2007-07-08
Business Address
-- TOM EVANICH P.T. A.
1603 CHASE RD
LOGANSPORT, IN 46947-1538
Phone number: 574-737-7404
Mailing Address
-- TOM EVANICH P.T. A.
4324 GRANDVIEW DR
LOGANSPORT, IN 46947-4106
Phone number:
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