Individual
MELISSA JANE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
522 SIXTH BAXTER XING STE B, FORT MILL, SC 29708-6634
(803) 929-7408
(888) 711-0441
Mailing address
PO BOX 168, CRYSTAL SPRINGS, MS 39059-0168
(850) 588-9641
(888) 711-0441
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4760
SC
Other
Enumeration date
05/12/2022
Last updated
05/01/2025
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