Individual
KATELYN MARY EVOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1289 OLIVER ST, FAYETTEVILLE, NC 28304-4450
(910) 483-8331
Mailing address
49 SPRUCE DR, MEDFORD, NJ 08055-8158
(856) 797-1940
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13377
NC
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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