Individual
MR. EVAN GRANT AMABILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23224-4915
(804) 675-5000
Mailing address
6507 FOREST HILL AVE, RICHMOND, VA 23225-1809
(207) 475-6348
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007592
VA
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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