Individual
VICTORIA S EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
1504 ALLEN DR, GEORGETOWN, IN 47122
(502) 541-6690
Mailing address
1504 ALLEN DR, GEORGETOWN, IN 47122
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
R2518
KY
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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