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Individual

JACLYN EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
875 W MCKINLEY AVE, DECATUR, IL 62526-3287
(217) 872-1282
Mailing address
206 COUNTY ROAD 754, RICEVILLE, TN 37370-5260

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056015359
IL
225X00000X
Occupational Therapist
4925
TN

Other

Enumeration date
05/03/2018
Last updated
06/20/2023
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