Individual
DR. ALYSSIA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1932 14TH ST, SANTA MONICA, CA 90404-4605
(310) 344-2276
Mailing address
1932 14TH ST, SANTA MONICA, CA 90404-4605
(310) 344-2276
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
21577
IL
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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