National Provider Identifier
John D Evans
John D Evans is listed in the NPPES registry with a primary specialty of Physical Therapist in Williamsville, NY and a listed phone number of (716) 636-9107.
Profile Overview
- NPI
- 1104934512
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- August 26, 2006
- Last Updated
- July 08, 2007
Practice Location
- 1150 Youngs RD
- Suite 109
- Williamsville, NY 14221-8053
Phone: (716) 636-9107
Mailing Address
- 449 70Th St
- Niagara Falls, NY 14304-3227
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1104934512
- Entity Type
- Individual
- Last Name
- Evans
- First Name
- John
- Middle Name
- D
- Mailing Street Address
- 449 70Th St
- Mailing City
- Niagara Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14304-3227
- Mailing Country
- US
- Mailing Phone
- (716) 636-9107
- Practice Street Address
- 1150 Youngs RD
- Practice Address Line 2
- Suite 109
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-8053
- Practice Country
- US
- Practice Phone
- (716) 636-9107
- Enumeration Date
- August 26, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)