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Contact Information

JESSICA EVANS
101 EAST STATE STREET
KENNETT SQUARE, PA19348
 Phone: 610-444-6350
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for JESSICA EVANS · (Female)

NPI # 1760849970
Status Active
Credentials
Entity Individual
Enumeration date 01/19/2016
Last updated 01/19/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # KY-A5933
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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