Evan Queen, PTA

NPI #1023365947 in Sumter, South Carolina

Provider Information

NPI Number: 1023365947
Entity Type: Individual
Name: Evan Queen, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 9, 2012
Last Updated: Aug 9, 2012

Practice Location

Address: 2825 CARTER RD
City: Sumter
State: South Carolina
ZIP Code: 29150-1712
Phone: (803) 469-4032

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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