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NPI Code Detail

MEDICARE: KRISTINE A EVANS

MEDICARE: KRISTINE A EVANS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOC004889LPA

General Provider Information

NPI Number : 1346309804
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINE A EVANS
Provider Business Mailing Address
First Line : 2344 NICHOLSON RD
Second Line :
City : SEWICKLEY
State : PA
Zip : 15143-8631
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 PERRYMONT RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15237-5239
Country : US
Telephone Number : 412-348-0179
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2006
Last Update Date : 07/08/2007

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Directions to “ KRISTINE A EVANS ” Practice Location

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