Individual
JAYLINN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2701 LAKE ALFRED RD, WINTER HAVEN, FL 33881-1432
(863) 293-5000
Mailing address
2525 GERTIES RD, BARTOW, FL 33830-9742
(863) 409-5839
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15578
FL
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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