Individual
MR. EVAN JOHN BASSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
123 W CASCADE WAY, SPOKANE, WA 99208-6017
(509) 624-3115
Mailing address
3124 W LONGFELLOW AVE, SPOKANE, WA 99205-1648
(509) 596-9593
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC61354817
WA
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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