Individual
EVAN POVILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
606 OLD ROUTE 17, MONTICELLO, NY 12701
(845) 794-1400
Mailing address
51 GREEVES ROAD, NEW HAMPTON, NY 10958
(845) 374-3911
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
011844-1
NY
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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