Individual
NALUNGO EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2280 HIGHWAY 29 N, NEWNAN, GA 30265-1031
(678) 768-7476
(855) 232-8604
Mailing address
2280 HIGHWAY 29 N, NEWNAN, GA 30265-1031
(678) 768-7476
(855) 232-8604
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002484
GA
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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