Doctor Name: | LAUREN EVENSON |
NPI Number: | 1104233881 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1120 S Calumet Rd Ste 3 Chesterton, IN - 463043286 |
Business Phone Number: | 2199839675 |
Business Fax Number: | |
Mailing Address: | 3020 Gleneagles Blvd Apt O, VALPARAISO |
State: | IN |
Postal Code: | 463832685 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/15/2014 |
NPI Last Update Date: | 07/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |