Individual
MS. EVELYN MIRANDA LEVASSEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1240 PINEBROOK RD, VENICE, FL 34285-6421
(941) 488-6733
(941) 484-5610
Mailing address
22144 MAMARONECK AVE, PORT CHARLOTTE, FL 33952-6925
(941) 488-6733
(941) 484-5610
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT2027
FL
Other
Enumeration date
11/22/2012
Last updated
11/22/2012
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