KODIE THOMAS EVANS
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1285368522- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 25072 NORTHWESTERN PIKE, ROMNEY, WV, 267575039
- Phone
- (304) 822-2177
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: WV #2057