Individual
MRS. MELINDA GAIL EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
170 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
(336) 768-1270
(336) 765-6375
Mailing address
PO BOX 25626, WINSTON SALEM, NC 27114-5626
(336) 768-1270
(336) 765-6375
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
552
NC
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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