MS. Mary Ellen Evans, P.T.

NPI #1871822114 in West Bend, Wisconsin

Provider Information

NPI Number: 1871822114
Entity Type: Individual
Name: MS. Mary Ellen Evans, P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Dec 16, 2009
Last Updated: Dec 16, 2009

Practice Location

Address: 5505 COUNTY ROAD Z
City: West Bend
State: Wisconsin
ZIP Code: 53095-9224
Phone: (262) 306-4280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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