Individual
HALEY JORDAN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 W LAMINE ST, LINCOLN, MO 65338-1101
(660) 547-3514
Mailing address
2806 MATTHEW DR, SEDALIA, MO 65301-7981
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2017028891
MO
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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