Individual
MS. TERRI-ANN NICOLA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
6390 AUSTIN ST APT 3C, REGO PARK, NY 11374-3016
(917) 499-8496
Mailing address
6390 AUSTIN ST APT 3C, REGO PARK, NY 11374-3016
(917) 499-8496
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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