Individual
DR. CARLEIGH RAQUEL EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
161 HATCHER LN, CLARKSVILLE, TN 37043-5987
(931) 542-2168
Mailing address
161 HATCHER LN, CLARKSVILLE, TN 37043-5987
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4464
TN
225XP0200X
Pediatric Occupational Therapist
4464
TN
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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