Individual
SARA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2040 HIGHWAY A1A, SUITE 203, INDIAN HARBOUR BEACH, FL 32937-3566
(321) 773-8989
(321) 773-8990
Mailing address
395 JACKSON AVE, SATELLITE BEACH, FL 32937-2927
(321) 848-4268
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 14320
FL
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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