Individual
CATHERINE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 686-4151
Mailing address
9234 GAIL DR, BATON ROUGE, LA 70809-3009
(225) 235-7662
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT:Z11245
LA
Other
Enumeration date
08/27/2015
Last updated
09/01/2015
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