NPI 1033624218

Kristy Jo Ella Evans, COTA

Practitioner Occupational Therapy Assistant Farmington, NM

Practice location

Address: 810 W Maple St, Farmington, NM 87401-5631
Phone: (505) 609-6013
Mailing address: 2111 Schofield Ln, Farmington, NM 87401-2522

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 3402 (NM)

Other Occupational Therapy Assistant providers in New Mexico →

Registry record

NPI: 1033624218
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Dec 2017
Record last updated: 9 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.