Individual
ELISE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
2450 DELHI COMMERCE DR STE 5, HOLT, MI 48842-2193
(517) 648-5528
Mailing address
5041 WILLOUGHBY RD APT 1, HOLT, MI 48842-1009
(517) 648-5528
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009561
MI
Other
Enumeration date
10/21/2016
Last updated
11/13/2025
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