Individual
SHANNON EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
620 8TH AVE, TERRE HAUTE, IN 47804-2744
(812) 231-8337
Mailing address
2312 BERNE AVE, TERRE HAUTE, IN 47805-2540
(812) 240-7014
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006113A
IN
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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