Individual
EVELYN SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8804 PARK LN, SAINT JOHN, IN 46373-9310
(219) 558-2208
Mailing address
8804 PARK LN, SAINT JOHN, IN 46373-9310
(219) 558-2208
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000909A
IN
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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