Individual
EVAN JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1936 WYOMING AVE, FORT PIERCE, FL 34982-5637
(772) 979-4317
Mailing address
1936 WYOMING AVE, FORT PIERCE, FL 34982-5637
(772) 979-4317
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18593
FL
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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