Individual
MR. EVAN DREW BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1124 N PARK ST, CARROLLTON, GA 30117-2395
(770) 834-0873
Mailing address
1124 N PARK ST, CARROLLTON, GA 30117-2395
(770) 834-0873
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007748
GA
225X00000X
Occupational Therapist
13034
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003263393B
—
GA
Enumeration date
01/21/2019
Last updated
10/30/2025
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