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Kelly Nicole Evanovich, PT,DPT,ATC
Orthopedic Physical Therapist in Wallingford, Connecticut
NPI 1114274313

Kelly Nicole Evanovich is a Orthopedic Physical Therapist based in Newington, CT and is specialized in Orthopedic. Kelly Nicole Evanovich practices in Wallingford, CT and has the professional credentials of PT,DPT,ATC. The NPI Number for Kelly Nicole Evanovich is 1114274313 and holds a License No. 14.009513 (Connecticut).

The current practice location address for Kelly Nicole Evanovich is 900 Northrop Rd, Wallingford, CT and can be reached out via phone at 203-949-1534.

Location: 900 Northrop Rd, Wallingford, CT, 06111-1614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114274313
Provider Name
Kelly Nicole Evanovich
Credential
PT,DPT,ATC
Provider Entity Type
Individual
Gender
Female
Address
900 Northrop Rd, Wallingford, CT, 06111-1614
Phone Number
203-949-1534
Fax Number
Provider Enumeration Date
08/07/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
900 Northrop Rd
City
Wallingford
State
Connecticut
Zip
06492-1997
Phone Number
203-949-1534
Fax Number
person
Provider Business Mailing Address Details
Address
900 Northrop Rd
City
Wallingford
State
Connecticut
Zip
06492-1997
Phone Number
203-949-1534
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
14.009513 (Connecticut)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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