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Individual

EVAN LUO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
46200 PORT ST, PLYMOUTH, MI 48170-6048
(734) 454-0866
Mailing address
45394 REMINGTON CT, CANTON, MI 48188-1076
(734) 709-1207

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201014074
MI

Other

Enumeration date
01/06/2025
Last updated
01/06/2025
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