Evans, Lisa Jane

Evans, Lisa Jane is an sole proprietor health care provider with primary practice located at 15 Parkman St , Boston MA 02114-3117. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Evans, Lisa Jane can be contacted via phone (617) 724-0147.

Contact Information

Primary practice address
15 Parkman St Boston MA 02114-3117
Phone: (617) 724-0147
Fax: (617) 726-3004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 8108 Massachusetts

Profile Details

NPI number 1033244744
LBN Legal business name Evans, Lisa Jane
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033244744 NPPES
Massachusetts Other 8108 PROFESSIONAL LICENSE

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