Andrea Lynn Evans, LPTA

Individual provider Active NPI Physical Therapy Assistant · Minerva, OH

NPI 1225230816 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1225230816
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA5672 (OH)
Practice address
1035 E Lincolnway
Minerva, OH 44657-1215
Phone
(330) 868-4147
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PTA5672OHMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA5672 OH Yes

Addresses

Primary practice location

1035 E Lincolnway
Minerva, OH 44657-1215

Mailing address

PO Box 84
Winona, OH 44493-0084
Phone (330) 224-1074

Other providers in Minerva, OH

All providers in Minerva, OH · Physical Therapy Assistant in Ohio

Sources for this page

Verify at the official NPI Registry.