Evan Motlong, | |
240 Nw 25th St, Miami, FL 33127-4341 | |
(303) 993-9884 | |
Not Available |
Full Name | Evan Motlong |
---|---|
Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 240 Nw 25th St, Miami, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598499451 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Secondary |
2251X0800X | Physical Therapist - Orthopedic | 64894 (Oregon) | Primary |
Provider Name | Architech Sports And Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780834697 PECOS PAC ID: 5496819914 Enrollment ID: O20090128000493 |
Mailing Address | Practice Location Address |
---|---|
Evan Motlong, 240 Nw 25th St, Miami, FL 33127-4341 Ph: (303) 993-9884 | Evan Motlong, 240 Nw 25th St, Miami, FL 33127-4341 Ph: (303) 993-9884 |
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