Whitney Evans, L/COTA
Individual provider Active NPI Occupational Therapy Assistant · Italy, TX
NPI 1174005656 · NPPES record last updated Aug 31, 2018
Key facts
- NPI
- 1174005656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 213559 (TX)
- Practice address
- 220 Davenport
Italy, TX 76651-3592 - Phone
- (972) 483-6369
- NPI assigned
- Aug 31, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213559 | TX | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 213559 | TX | Yes |
Addresses
Primary practice location
220 Davenport
Italy, TX 76651-3592
Mailing address
128 Park Crest Dr
Red Oak, TX 75154-5114
Phone (469) 245-6945
Other providers in Italy, TX
- Nathan Brown
- Ruth Ellen Cepak
- Shirley Clary-Anthony
- Annette Marie Cook
- Terrance Demont Cooks
- Italy Independent School District
- John B Arkusinski DO PA
- Kelmed Health & Wellness Clinic PLLC
- MD Pharmacueticals LLC
- Judy Elaine Montgomery
All providers in Italy, TX · Occupational Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.