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NPI Code Detail

MEDICARE: EVANS ANESTI SOTER

MEDICARE: EVANS ANESTI SOTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant

General Provider Information

NPI Number : 1679402515
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVANS ANESTI SOTER
Provider Business Mailing Address
First Line : 14 DEBBIE DR
Second Line :
City : SPENCER
State : MA
Zip : 01562-1445
Country : US
Telephone Number : 774-289-2655
Fax Number :
Provider Business Practice Location Address
First Line : 319A SOUTHBRIDGE ST
Second Line :
City : AUBURN
State : MA
Zip : 01501-2598
Country : US
Telephone Number : 508-832-2628
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ EVANS ANESTI SOTER ” Practice Location

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