Individual
MRS. TERRAN AQUILA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1492 S CALUMET DR, WORTHINGTON, KY 41183-9615
(606) 308-2786
Mailing address
1492 S CALUMET DR, WORTHINGTON, KY 41183-9615
(606) 308-2786
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
170758
KY
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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