Individual
TANYA LORAINE EVANGELHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
691 MURPHY RD, SUITE 236, ACCENT CARE HOME HEALTH, MEDFORD, OR 97504
(541) 414-1800
Mailing address
1755 WITTINGTON PL, DALLAS, TX 75234-1927
(214) 442-4445
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1022861
OR
225X00000X
Occupational Therapist
OT 0003866
CO
225X00000X
Occupational Therapist
OT 4296
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1022861
STATE OF OREGON OCCUPATIONAL THERAPY LICENSING BOARD
OR
Enumeration date
12/21/2013
Last updated
12/22/2014
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