| NPI | 1578022869 |
|---|---|
| Doing Business As | EVOLUTION PHYSICAL THERAPY AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | MIRANDA SMITH Practice Manager 530-205-9538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2020-12-14 |