Individual provider · Type 1 NPI

Mary Lorraine Evans, P.T.

Pediatric Physical Therapist · Buffalo, NY

NPI number 1184873291 Active

Practice location

219 Bryant St
Buffalo, NY 14222-2006

Fax (716) 878-1157

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000X003877 (NY)
Pediatric Physical Therapist Primary 2251P0200XNone listed

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1184873291

Mary Lorraine Evans, P.T.'s National Provider Identifier is 1184873291, issued on Sep 12, 2008. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Buffalo, NY. The record was last updated on Sep 12, 2008.