Individual
MRS. EVELYN FANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
101 GLENBROOK RD, FREEHOLD, NJ 07728-1512
(732) 294-7428
Mailing address
101 GLENBROOK RD, FREEHOLD, NJ 07728-1512
(732) 294-7428
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00071100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46TR00071100
OCCUPATIONAL THERAPIST
NJ
Enumeration date
10/30/2015
Last updated
10/30/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us