Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THERON EVANS
Active Sole ProprietorTHERON EVANS is a Occupational Therapy Assistant healthcare provider located in SHREVEPORT, Louisiana. NPI 1902278641 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · SHREVEPORT, LA
Registration Details
- NPI Number
- 1902278641
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 21, 2015 (10.771774798428 yrs)
- Last Updated
- Oct 21, 2015
- License
-
200290 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
403 E FLOURNOY LUCAS RDSHREVEPORT, LA, 711153906Browse LA providers · Browse ZIP 71115
- Phone
- 3182133500
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| MS. SONYA RENEE TEMPLE | LCOTA | 1144276247 |
| MR. GLENN F. MOBLEY SR. | COTA | 1659570273 |
| MRS. DAPHNE LANE NIERMAN | — | 1053682120 |
| MYSTIE ANN HARMON | OTA | 1750655775 |
| MRS. TURKESSA MONK HOLLAND | COTA | 1346672607 |
| FELISA JOHNSON JOHNSON | COTA | 1669841847 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.