Individual
KIRSTIE ASHLEY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9093 RIDGEFIELD DR STE 102, FREDERICK, MD 21701-6711
(301) 846-4769
Mailing address
2630 BERT FOWLER RD, MANCHESTER, MD 21102-1808
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08957
MD
Other
Enumeration date
07/01/2020
Last updated
10/26/2022
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