Individual
HORACE WAYNE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
200 GLENWAY RD, WINCHESTER, KY 40391-8991
(859) 744-1800
Mailing address
8481 OLD BOONESBORO RD, WINCHESTER, KY 40391-8885
(859) 527-0322
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R2279
KY
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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