Individual
DONALD RYAN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
421 S BEST AVE, WALNUTPORT, PA 18088-1217
(610) 760-1520
(610) 760-1721
Mailing address
421 S BEST AVE, WALNUTPORT, PA 18088-1217
(610) 760-1520
(610) 760-1721
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
46TR00311700
NJ
225X00000X
Occupational Therapist
Primary
OC005079L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001676374
—
PA
Enumeration date
06/13/2005
Last updated
01/19/2012
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