Provider Demographics
NPI:1144555335
Name:ADAO, EVELYN CARREON (OTR)
Entity type:Individual
Prefix:MRS
First Name:EVELYN
Middle Name:CARREON
Last Name:ADAO
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2143 CARTAGENA DR
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-5307
Mailing Address - Country:US
Mailing Address - Phone:530-755-2157
Mailing Address - Fax:530-755-2299
Practice Address - Street 1:2143 CARTAGENA DR
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-5307
Practice Address - Country:US
Practice Address - Phone:530-755-2157
Practice Address - Fax:530-755-2299
Is Sole Proprietor?:No
Enumeration Date:2009-10-06
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA883225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist