Search › Connecticut › 207PS0010X
Evan Davis, ATC
NPI 1164094942 · on the registry since 2021 · sole proprietor
Practice
- Address
- 156 Roseleah Ave
Newington, CT 06111 - Phone
- (860) 614-2122
Registry record
- Primary taxonomy
- 207PS0010X
207PS0010X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-12
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 Connecticut