Individual
EVANGELINE LEUKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 HOUNDS RUN DR, GOLDSBORO, NC 27530-5537
(919) 736-7753
Mailing address
106 HOUNDS RUN DR, GOLDSBORO, NC 27530-5537
(919) 736-7753
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4917
NC
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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