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Evan James Michelson Valid NPI

Individual provider · Physical Therapist · Kingman, AZ

NPI
1245050798
Type
Individual (Type 1)
Primary specialty
Physical Therapist
Specialty group
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy code
225100000X
License number
LPT-010285 (AZ)
Sex
Male
Sole proprietor
No
Enumerated
2024-10-10
Last updated
2024-10-10
Practice location
2403 N Stockton Hill Rd Ste 4and5
Kingman, AZ 86401-4188
(928) 529-5311

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