Individual
EVAN KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
6595B ROOSEVELT BLVD, PHILADELPHIA, PA 19149-2918
(215) 743-2332
Mailing address
5916 MARK DR, BENSALEM, PA 19020-2421
(267) 408-9921
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC020437
PA
Other
Enumeration date
11/09/2024
Last updated
11/09/2024
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