Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BEN MICHAEL EVARDOME, PTA
Active Sole ProprietorBEN MICHAEL EVARDOME, PTA is a Occupational Therapist healthcare provider located in YUCAIPA, California. NPI 1164754875 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · YUCAIPA, CA
Registration Details
- NPI Number
- 1164754875
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 4, 2010 (16.54828525208 yrs)
- Last Updated
- Feb 4, 2010
- License
-
AT6602 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
34835 FAIRPORT WAYYUCAIPA, CA, 923996817Browse CA providers · Browse ZIP 92399
- Phone
- 9095709573
- Fax
- 9095709573
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in YUCAIPA, CA
| Name | Credential | NPI |
|---|---|---|
| MARY GENESIS TAGORDA RITUMBAN | P.T.A. | 1780996876 |
| JOSE ICHIRO MANABAT | P.T.A | 1104266766 |
| MRS. CHANTALE ALEMAN | — | 1568011997 |
| JOHN SRICHAROON | — | 1194487587 |
| LOVELY LONGDONG | — | 1497433080 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.