DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CHARLES EVANS II

MEDICARE: CHARLES EVANS II
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
1225X00000XOccupational Therapist950WV

General Provider Information

NPI Number : 1194129304
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES EVANS II
Provider Business Mailing Address
First Line : 4000 OUT LOOK DR
Second Line :
City : HURRICANE
State : WV
Zip : 25526-9467
Country : US
Telephone Number : 304-757-4102
Fax Number :
Provider Business Practice Location Address
First Line : 4000 OUT LOOK DR
Second Line :
City : HURRICANE
State : WV
Zip : 25526-9467
Country : US
Telephone Number : 304-757-4102
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2014
Last Update Date : 10/17/2014

Similar Medicare Providers

1114851128 — WSSH POWERBACK REHABILITATION SERVICES, LLC
Practice Location Address:
4000 OUT LOOK DR
HURRICANE, WV
25526-9467
Practice Phone: 304-757-1517
Practice Fax:
1982736021 — STACY FROME CHRISTIAN DPT
Practice Location Address:
4000 OUT LOOK DR
HURRICANE, WV
25526-9467
Practice Phone: 304-757-4102
Practice Fax:
1245358134 — MRS. DEIDRE ANN KONDIK SLP
Practice Location Address:
4000 OUT LOOK DR
HURRICANE, WV
25526-9467
Practice Phone: 330-338-8862
Practice Fax:
1376662734 — MS. AMANDA LEIGH GUTHRIE COTA
Practice Location Address:
4000 OUT LOOK DR
HURRICANE, WV
25526-9467
Practice Phone: 304-757-4102
Practice Fax:
1508193749 — HATTIE FRAZIER COTA/L
Practice Location Address:
4000 OUT LOOK DR
HURRICANE, WV
25526-9467
Practice Phone: 304-757-4102
Practice Fax:
1295117232 — POWERBACK REHABILITATION LLC
Practice Location Address:
4000 OUT LOOK DR , C/O BROADMORE AL AT TEAYS VALLEY
HURRICANE, WV
25526-9467
Practice Phone: 304-757-1517
Practice Fax:

Directions to “ CHARLES EVANS II ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.