Individual
JAMIE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1211 OLD MAIN ST, HARTFORD, KY 42347-1619
(270) 298-5286
(270) 298-5237
Mailing address
1211 OLD MAIN ST, HARTFORD, KY 42347-1619
(270) 298-5286
(270) 298-5237
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R2970
KY
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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