Individual
KENISHA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3604 COUNTRY RIDGE RD, GREENSBORO, NC 27405-2865
(336) 340-2655
Mailing address
3604 COUNTRY RIDGE RD, GREENSBORO, NC 27405-2865
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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