Ben Michael Evardome, PTA

NPI #1164754875 in Yucaipa, California

Provider Information

NPI Number
1164754875
Entity Type
Individual
Name
Ben Michael Evardome, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Feb 4, 2010
Last Updated
Feb 4, 2010

Practice Location

Address
34835 FAIRPORT WAY
ZIP Code
92399-6817
Phone
(909) 570-9573

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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