Individual
EVELYN BARKAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5670 LAKE WYLIE RD, CLOVER, SC 29710-9185
(219) 201-0598
Mailing address
5670 LAKE WYLIE RD, CLOVER, SC 29710-9185
(219) 201-0598
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5353
SC
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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