Individual
MS. DONNA JEAN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
21 OSPREY RD, BECKLEY, WV 25801-1605
(304) 222-2329
(304) 253-8316
Mailing address
21 OSPREY RD, BECKLEY, WV 25801-1605
(304) 222-2329
(304) 253-8316
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1241
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7501013000
—
WV
Enumeration date
12/15/2006
Last updated
07/08/2007
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