Individual
CHRISTOPHER L BEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
85 E 2000 N, TOOELE, UT 84074-9280
(435) 843-2000
Mailing address
80 E 2000 N, TOOELE, UT 84074-9251
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
10846077-4201
UT
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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