Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT00003329 | WA |
N | 225XH1200X | Occupational Therapist - Hand |
NPI | 1164691143 |
---|---|
Provider Name | Anne E Evans |
First Address | Mercer Island, WA 98040-2804 |
Second Address | Bellevue, WA 98004-3740 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2008 |
Last Update Date | 27/01/2021 |