Individual
EVENS CLEOPHAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
THERAPIST
Contact information
Practice address
320 E 56TH ST, BROOKLYN, NY 11203-4706
(718) 495-5873
(718) 495-5873
Mailing address
628 E 103RD ST, BROOKLYN, NY 11236-2502
(718) 257-1109
(718) 495-5873
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0095291
NY
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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