Individual
AMANDA HEWES EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 OCONNOR RD, FAIRPORT, NY 14450-1327
(585) 377-4660
Mailing address
41 OCONNOR RD, FAIRPORT, NY 14450-1327
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024838
NY
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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