Doctor Name: | LORENA EVERHART |
NPI Number: | 1508234501 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 11789 |
Business Practice Address: | 36397 N Gantzel Rd Ste 102 San Tan Valley, AZ - 851407336 |
Business Phone Number: | 4805672987 |
Business Fax Number: | 4803470240 |
Mailing Address: | 36397 N Gantzel Rd Ste 102, SAN TAN VALLEY |
State: | AZ |
Postal Code: | 851407336 |
Phone Number: | 4805672987 |
Fax Number: | 4803470240 |
NPI Enumeration Date: | 09/08/2015 |
NPI Last Update Date: | 09/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11789 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |