Most Relevant Information
Provider Data
| NPI Number: | 1003630815 |
| Provider Name: | EVAN KIRBY MS, OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OC020437 |
Most Important Dates
| Enumeration Date: | 11/09/2024 |
| Last Updated: | 11/09/2024 |
Provider Practice Location
6595B ROOSEVELT BLVD
PHILADELPHIA
PA
191492918
Practice Location Phone/Fax
| Phone: | 2157432332 |
| Fax: |
Provider Mailing Location
5916 MARK DR
BENSALEM
PA
190202421
Provider Mailing Phone/Fax
| Phone: | 2674089921 |
| Fax: |