Individual
FAYE EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
301 E FOOTHILL BLVD STE 100, ARCADIA, CA 91006-2551
(833) 319-3969
Mailing address
16339 E BRIDGER ST, COVINA, CA 91722-3303
(626) 343-6165
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
26526
CA
Other
Enumeration date
07/15/2024
Last updated
08/15/2024
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