Individual
DEANA EVERRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
9424 MAGNOLIA ESTATES DR, CORNELIUS, NC 28031-7858
(304) 906-9167
Mailing address
9424 MAGNOLIA ESTATES DR, CORNELIUS, NC 28031-7858
(304) 906-9167
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8385
NC
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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