Doctor Name: | LINDA MARIE EVANS |
NPI Number: | 1679737795 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT 34763 |
Business Practice Address: | 425 Diamond Dr Ste. 101 Lake Elsinore, CA - 925304495 |
Business Phone Number: | 9516749515 |
Business Fax Number: | 9516749517 |
Mailing Address: | 29645 Rancho California Rd, Ste. 234 TEMECULA |
State: | CA |
Postal Code: | 925916200 |
Phone Number: | 9515063001 |
Fax Number: | 9515063002 |
NPI Enumeration Date: | 07/17/2008 |
NPI Last Update Date: | 07/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 34763 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |