Jessica Evans
Occupational Therapist in Altamont, NY. Individual provider (NPI-1).
NPI number1902369887
StatusActive
Last updated in NPPESApr 9, 2019
Details
- NPI
- 1902369887
- Entity type
- Individual (NPI-1)
- Name
- Jessica Evans
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2019
- Last updated
- Apr 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 020376 | NY | Yes |
Practice location
57 Sanford PlAltamont, NY 12009-9253
Phone 518-694-6212
Mailing address
57 Sanford PlAltamont, NY 12009-9253
Phone 518-694-6212
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