Individual
ANN MARIE EVIDENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12400 ELGERS ST, CERRITOS, CA 90703-8333
(562) 682-1214
Mailing address
12400 ELGERS ST, CERRITOS, CA 90703-8333
(562) 682-1214
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT17041
CA
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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