Individual
BETHANY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38 N SCOTT ST, CARBONDALE, PA 18407-1888
(570) 280-2800
Mailing address
595 JOHNSON RD, FRIENDSVILLE, PA 18818-8906
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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