Individual
DORROS EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
100 RORER ST, CHATHAM, VA 24531-5455
(434) 432-0471
Mailing address
100 RORER ST, CHATHAM, VA 24531-5455
(434) 432-0471
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000584
VA
Other
Enumeration date
12/17/2010
Last updated
09/01/2011
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