MEDICARE: AUBREY JOANNA EVANS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	OTA24986	MA

General Provider Information

NPI Number	:	1225992225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUBREY JOANNA EVANS

Provider Business Mailing Address
First Line	:	3 EVERETT ST
Second Line	:
City	:	CARVER
State	:	MA
Zip	:	02330-1520
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 LYMAN ST STE 103B
Second Line	:
City	:	WESTBOROUGH
State	:	MA
Zip	:	01581-5403
Country	:	US
Telephone Number	:	774-393-1849
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2025
Last Update Date	:	12/13/2025

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