Individual
DENISE ANN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10601 E 35TH TER S, INDEPENDENCE, MO 64052-1113
(816) 358-1953
Mailing address
8483 LIV 239, CHILLICOTHE, MO 64601-4392
(660) 707-0753
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2000175704
MO
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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