IndividualActive
Evan Luo, OTR/L
NPI 1023827862 · Pediatric Occupational Therapist · Plymouth, MI
Provider details
- NPI number
- 1023827862
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5201014074 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
46200 Port St
Plymouth, MI 48170-6048
Phone: (734) 454-0866
Approximate (ZIP-level) locationGet directions
Mailing address
45394 Remington Ct
Canton, MI 48188-1076
Registry dates
- Enumerated
- 2025-01-06
- Last updated
- 2025-01-06
- Certified
- 2025-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.