Organization
EVOLVING HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL CHIANG OTR/L (OWNER)
(904) 400-3754
Entity
Organization
Contact information
Practice address
1361 13TH AVE S STE 160, JACKSONVILLE BEACH, FL 32250-3235
(904) 400-3754
Mailing address
1451 LINKSIDE DR, ATLANTIC BEACH, FL 32233
(904) 400-3754
Taxonomy
Speciality
Code
Description
License number
State
225XE0001X
Environmental Modification Occupational Therapist
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
02/17/2021
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