Individual
LORI MARTIN-EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36161 N CENTER ST, CLARKSBURG, CA 95612
(916) 744-1966
Mailing address
PO BOX 106, CLARKSBURG, CA 95612-0106
(903) 390-0288
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2290
CA
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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