Individual
MRS. EVELYN ROSE LOEWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
18 BROAD ST, JOHNSON CITY, NY 13790-2106
(607) 798-7117
Mailing address
40 LAUREL AVE, BINGHAMTON, NY 13905-4204
(607) 772-8818
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
011673-1
NY
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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