Individual
JULIA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
16 LAKE HUNTER DR, LAKELAND, FL 33803-1297
(863) 688-5521
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(352) 382-7214
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17313
FL
Other
Enumeration date
08/06/2019
Last updated
01/09/2020
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