Individual
MRS. DARLA LEE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4364 W LITTLE RAIN RD, WASILLA, AK 99623-0880
(907) 715-7780
Mailing address
4364 W LITTLE RAIN RD, WASILLA, AK 99623-0880
(907) 715-7780
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
8031
NC
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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