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Ben Evardome, PTA
NPI 1164754875 · on the registry since 2010 · sole proprietor
Practice
- Address
- 34835 Fairport Way
Yucaipa, CA 92399 - Phone
- (909) 570-9573
- Fax
- (909) 570-9573
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-02-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California