Individual
WHITNEY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L/COTA
Contact information
Practice address
220 DAVENPORT, ITALY, TX 76651-3592
(972) 483-6369
Mailing address
128 PARK CREST DR, RED OAK, TX 75154-5114
(469) 245-6945
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213559
TX
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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