Individual
EMILY EVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
110 MAPLE ST, CRYSTAL LAKE, IL 60014
(847) 650-8186
(847) 739-7286
Mailing address
110 MAPLE ST, CRYSTAL LAKE, IL 60014-5919
(847) 650-8186
(847) 739-7286
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008481
IL
Other
Enumeration date
12/15/2008
Last updated
06/27/2018
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