Doctor Name: | BENJAMIN J EVANS |
NPI Number: | 1881977122 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T, |
License Number: | PT38216 |
Business Practice Address: | 1850 Sullivan Ave Suite 330 Daly City, CA - 940152221 |
Business Phone Number: | 6507565630 |
Business Fax Number: | 6507560136 |
Mailing Address: | 1850 Sullivan Ave, Suite 330 DALY CITY |
State: | CA |
Postal Code: | 940152221 |
Phone Number: | 6507565630 |
Fax Number: | 6507560136 |
NPI Enumeration Date: | 09/22/2011 |
NPI Last Update Date: | 09/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT38216 |
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 |