Evans, Deirdra

Evans, Deirdra is an individual health care provider with primary practice located at 1330 Boiling Springs Rd Ste 1600B, Spartanburg SC 29303-4201. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Evans, Deirdra can be contacted via phone (864) 582-0019.

Contact Information

Primary practice address
1330 Boiling Springs Rd Ste 1600B Spartanburg SC 29303-4201
Phone: (864) 582-0019
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1225116288
LBN Legal business name Evans, Deirdra
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225116288 NPPES
South Carolina Other 502 LICENSE#

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