Individual
COLLEEN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5756 N KNOLL, SAN ANTONIO, TX 78240-2238
(210) 321-5200
Mailing address
1000 S LORRAINE RD APT 204, WHEATON, IL 60189-6958
(331) 240-0722
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114935
TX
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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