Individual
STEPHANIE EVANGELIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4220 80TH ST NE, MARYSVILLE, WA 98270-3423
(360) 965-3002
Mailing address
4220 80TH ST NE, MARYSVILLE, WA 98270-3423
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/07/2019
Last updated
09/07/2019
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