Theron Evans
Theron Evans is an Occupational Therapy Assistant in Shreveport, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.
- Licensed in
- LA
- In the registry since
- 2015
Practice location Address checks out
403 E Flournoy Lucas RdShreveport, LA 71115-3906
Phone: (318) 213-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 200290 (LA) |
|---|
Record details
| NPI number | 1902278641 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 21, 2015 |
| Last updated in NPPES | October 21, 2015 |
| Mailing address | Po Box 579, Summit, MS 39666-0579 |
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