Individual
MR. EVAN JOHN ATHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1542 GOLF COURSE RD STE 204, GRAND RAPIDS, MN 55744-3537
(218) 999-7000
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106292
MN
Other
Enumeration date
12/04/2019
Last updated
11/08/2022
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