MR. Jed Edison Mance Evangelista, PT
NPI #1215592845 in Kew Gardens, New York
Provider Information
- NPI Number
- 1215592845
- Entity Type
- Individual
- Name
- MR. Jed Edison Mance Evangelista, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- May 9, 2019
- Last Updated
- May 9, 2019
Practice Location
- Address
- 8532 125TH ST
- City
- Kew Gardens
- State
- New York
- ZIP Code
- 11415-3311
- Phone
- (410) 629-9872
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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