Individual
MR. DIRK EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CVRT, COMS
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(971) 263-2426
Mailing address
4952 ENSIGN ST, SAN DIEGO, CA 92117-1203
(971) 263-2426
Taxonomy
Speciality
Code
Description
License number
State
2255R0406X
Blind Rehabilitation Specialist/Technologist
Primary
—
—
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
—
—
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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