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LORI MARTIN-EVANS

>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1326633827

Individual Registrant:
 LORI  MARTIN-EVANS 
Gender: F
Sole Proprietor

Location and contact information for practice:
36161 N CENTER ST  CLARKSBURG, CA 95612 US
Tel: 916-744-1966  Fax: --

Contact information for business:
PO BOX 106  CLARKSBURG, CA 95612-0106 US
Tel: 903-390-0288  Fax: --

Registration Information:
NPI: 1326633827
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
CA2290

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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