JOSEPH EVARISTO

THOUSAND OAKS, CA
NPI1295877892
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  2549)
Enumeration Date2007-02-12
Last Update Date2007-07-08
Business Address
Mr. JOSEPH EVARISTO OTR
2957 BLAZING STAR DR
THOUSAND OAKS, CA 91362-1756
Phone number: 818-415-3466
Mailing Address
Mr. JOSEPH EVARISTO OTR
2957 BLAZING STAR DR
THOUSAND OAKS, CA 91362-1756
Phone number: