STEPHEN EVANGELLO MARTIN MANUEL

BATON ROUGE, LA
NPI1699794768
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  PT03638F)
Enumeration Date2006-07-19
Last Update Date2013-08-20
Business Address
Mr. STEPHEN EVANGELLO MARTIN MANUEL P.T.
5438 ODONOVAN DR SUITE 100
BATON ROUGE, LA 70808-4364
Phone number: 225-769-0818
Mailing Address
Mr. STEPHEN EVANGELLO MARTIN MANUEL P.T.
5438 ODONOVAN DR
BATON ROUGE, LA 70808-4364
Phone number: 225-769-0818