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NPI Code Detail

MEDICARE: EVAN CHRISTIAN SCHWARTZ PTA

MEDICARE:   EVAN CHRISTIAN SCHWARTZ  PTA
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 AssistantA6597NC

General Provider Information

NPI Number : 1821569849
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVAN CHRISTIAN SCHWARTZ PTA
Provider Business Mailing Address
First Line : 600A VILLAGE WALK DR
Second Line :
City : HOLLY SPRINGS
State : NC
Zip : 27540-4438
Country : US
Telephone Number : 919-346-8651
Fax Number :
Provider Business Practice Location Address
First Line : 600A VILLAGE WALK DR
Second Line :
City : HOLLY SPRINGS
State : NC
Zip : 27540-4438
Country : US
Telephone Number : 919-346-8651
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2018
Last Update Date : 12/17/2018

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Directions to “ EVAN CHRISTIAN SCHWARTZ PTA” Practice Location

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