Individual provider · Type 1 NPI

Kelly Nicole Evanovich, PT, DPT, ATC

Orthopedic Physical Therapist · Wallingford, CT

NPI number 1114274313 Active

Practice location

900 Northrop Rd
Wallingford, CT 06492-1997

Call (203) 949-1534 Map

Mailing address

64 Groveland Ter
Newington, CT 06111-1614

Specialties and licenses

TaxonomyCodeLicense
Orthopedic Physical Therapist Primary 2251X0800X14.009513 (CT)

Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…

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About NPI 1114274313

Kelly Nicole Evanovich, PT, DPT, ATC's National Provider Identifier is 1114274313, issued on Aug 7, 2012. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Wallingford, CT. The record was last updated on Aug 7, 2012.