Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | 3221 | DC |
NPI | 1700246485 |
---|---|
Provider Name | Cynthia Evans |
First Address | Washington, DC 20032-3877 |
Second Address | Washington, DC 20032-3877 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2016 |
Last Update Date | 24/02/2016 |