EVAN SHORT

MESA, AZ
NPI1518343003
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  11733)
Enumeration Date2015-08-06
Last Update Date2015-08-06
Business Address
-- EVAN SHORT
4210 E BASELINE RD 106
MESA, AZ 85206-4417
Phone number: 480-503-2373
Mailing Address
-- EVAN SHORT
4210 E BASELINE RD 106
MESA, AZ 85206-4417
Phone number: 480-503-2373