Individual
EVELYN KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2450 ATLANTA HWY STE 701, CUMMING, GA 30040-1255
(630) 903-7294
Mailing address
4450 FAIRFAX DR, CUMMING, GA 30028-8549
(630) 903-7294
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009324
GA
Other
Enumeration date
09/19/2016
Last updated
10/09/2024
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