Evan Rashaad Staples

NPI #1689154601 in Homosassa, Florida

Provider Information

NPI Number: 1689154601
Entity Type: Individual
Name: Evan Rashaad Staples
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 20, 2018
Last Updated: Aug 20, 2018

Practice Location

Address: 8477 S SUNCOAST BLVD
City: Homosassa
State: Florida
ZIP Code: 34446-5028
Phone: (403) 348-9919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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