Most Relevant Information
Provider Data
NPI Number: | 1003265919 |
Provider Name: | ANDREW MICHAEL EVANS DPT |
Entity Type: | Individual |
Taxonomy Code: | 225100000X |
Specialty: | Physical Therapist |
License Number: | 40QA01668500 |
Most Important Dates
Enumeration Date: | 06/10/2016 |
Last Updated: | 06/10/2016 |
Provider Practice Location
13A MAIN ST
SUITE 4
SPARTA
NJ
078711941
Practice Location Phone/Fax
Phone: | 9737267400 |
Fax: | 9737267440 |
Provider Mailing Location
5300 DERRY ST
2ND FLOOR
HARRISBURG
PA
171113576
Provider Mailing Phone/Fax
Phone: | 7178392110 |
Fax: | 7175651934 |