Individual
DUSTIN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2501 W 26TH ST, SIOUX FALLS, SD 57105-2446
(605) 782-2320
Mailing address
508 COTTONWOOD DR, HARRISBURG, SD 57032-2275
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0735
SD
Other
Enumeration date
05/08/2009
Last updated
05/08/2009
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