Individual
MARIA ELENI EVGENIADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
56 MAIN ST UNIT 1A, SOUTHAMPTON, NJ 08088-8896
(609) 388-4782
Mailing address
5 CORONET TER, BURLINGTON, NJ 08016-4290
(609) 234-2985
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00902400
NJ
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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