Individual
SARA F EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
1631 RITTER DR, DANIELS, WV 25832-9264
(304) 763-3051
Mailing address
PO BOX 1272, CRAB ORCHARD, WV 25827-1272
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1485
WV
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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