Individual
HEATHER DAWN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
30 E LITTLE AVE, DRIGGS, ID 83422-5138
(208) 709-2911
(208) 354-2911
Mailing address
1940 S BONITO WAY STE 190, MERIDIAN, ID 83642-5618
(208) 287-9420
(208) 287-9426
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
797
ID
Other
Enumeration date
05/18/2006
Last updated
03/08/2023
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