JOHANNA ELAINE EVANS

OSWEGO, NY
NPI1306488259
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NY  010218)
Enumeration Date2019-10-11
Last Update Date2019-10-11
Business Address
JOHANNA ELAINE EVANS
159 W 1ST ST
OSWEGO, NY 13126-2045
Phone number: 315-342-9575
Mailing Address
JOHANNA ELAINE EVANS
PO BOX 45
CENTRAL SQUARE, NY 13036-0045
Phone number: 315-440-7883
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