Individual
EVLYN SHIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
24 NOBLE ST, LYNBROOK, NY 11563-2239
(516) 503-3419
Mailing address
24 NOBLE ST, LYNBROOK, NY 11563-2239
(516) 503-3419
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
018129
NY
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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