Individual
LUCIA EVANGELISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
7020 CLEARVIEW ST, PHILADELPHIA, PA 19119-1848
(215) 868-6619
Mailing address
7020 CLEARVIEW ST, PHILADELPHIA, PA 19119-1848
(215) 868-6619
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12813
MA
Other
Enumeration date
08/21/2018
Last updated
09/19/2022
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