Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathleen Siobhan Evangelista, MSOTR/L

Individual provider Occupational Therapist · NPI 1265778856

Kathleen Siobhan Evangelista, MSOTR/L is an Occupational Therapist in West Orange, New Jersey. Licensed in New Jersey. Registered with an NPI since 2012.

Licensed in
NJ
In the registry since
2012
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Practice location Address checks out

622 Eagle Rock Ave Ste 108
West Orange, NJ 07052-2994
Phone: (973) 669-0072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 46TR00559400 (NJ)

Record details

NPI number1265778856
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOTR/L
Sole proprietorNo
NPI enumeratedDecember 31, 2012
Last updated in NPPESJanuary 10, 2023
Certification dateJanuary 10, 2023

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