MISS Elaine Ashlyn Evanich
NPI #1386129773 in Logansport, Indiana
Provider Information
- NPI Number
- 1386129773
- Entity Type
- Individual
- Name
- MISS Elaine Ashlyn Evanich
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Developmental Therapist
- Enumeration Date
- Oct 1, 2018
- Last Updated
- Oct 1, 2018
Practice Location
- Address
- 2601 GEORGE ST
- City
- Logansport
- State
- Indiana
- ZIP Code
- 46947-3810
- Phone
- (574) 702-2204
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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