NPI | 1972270742 |
---|---|
Former Name | EMILY K EVANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1396034) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: OK 6051) |
Enumeration Date | 2021-08-27 |
Last Update Date | 2024-08-28 |