Individual
CHRISTINA LEE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3309 35TH AVE, ASTORIA, NY 11106-1220
(718) 786-6703
Mailing address
8714 169TH ST, JAMAICA, NY 11432-3632
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014153-1
NY
Other
Enumeration date
05/31/2008
Last updated
04/30/2012
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