Provider Demographics
NPI:1588143077
Name:EVANS, ANTHONY JAMES (DPT)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:JAMES
Last Name:EVANS
Suffix:
Gender:M
Credentials:DPT
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Mailing Address - Street 1:4231 SPADEFOOT CT
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-0418
Mailing Address - Country:US
Mailing Address - Phone:704-975-0222
Mailing Address - Fax:704-235-1621
Practice Address - Street 1:2585 W ROOSEVELT BLVD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-0418
Practice Address - Country:US
Practice Address - Phone:704-285-2806
Practice Address - Fax:704-235-1621
Is Sole Proprietor?:No
Enumeration Date:2018-08-07
Last Update Date:2023-12-22
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Provider Licenses
StateLicense IDTaxonomies
NC17281225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist