MR. Fred L. Evans III, PTA

NPI #1497229124 in Florence, South Carolina

Provider Information

NPI Number: 1497229124
Entity Type: Individual
Name: MR. Fred L. Evans III, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 16, 2019
Last Updated: Jan 16, 2019

Practice Location

Address: 2439 WILLWOOD DR.
City: Florence
State: South Carolina
ZIP Code: 29501
Phone: (843) 777-2196

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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