Individual
MRS. TONYA KIM EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3109 E BRISTOL ST, ELKHART, IN 46514-4372
(574) 266-4508
Mailing address
906 FOXBRIAR LN, GOSHEN, IN 46526-5506
(574) 238-1761
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000330A
IN
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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