Individual
EVAN WILLIAM CASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
787 FARMVIEW RD, CROCKETT, VA 24323-3155
(276) 617-0040
Mailing address
787 FARMVIEW RD, CROCKETT, VA 24323-3155
(276) 617-0040
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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