Constance Evasic

NPI #1235636127 in Livonia, Michigan

Provider Information

NPI Number: 1235636127
Entity Type: Individual
Name: Constance Evasic
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Apr 9, 2018
Last Updated: Apr 9, 2018

Practice Location

Address: 14042 EDGEWOOD ST
City: Livonia
State: Michigan
ZIP Code: 48154-5334
Phone: (734) 620-7785

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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