Individual
TIA DANIELLE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
700 COLORADO BLVD, 318, DENVER, CO 80206-4084
(866) 801-9492
Mailing address
700 COLORADO BLVD, 318, DENVER, CO 80206-4084
(866) 801-9492
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
04931
MD
225X00000X
Occupational Therapist
Primary
10044
CA
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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