Individual
KAYLA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
520 MANOR DR, FULTON, MO 65251-2429
(573) 642-6834
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(800) 381-0822
(352) 565-5201
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2019030978
MO
Other
Enumeration date
08/29/2019
Last updated
09/25/2025
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