Individual
CAROL EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
DAUPHIN ST., MOBILE, AL 36606-2714
(251) 476-1279
Mailing address
5212 BORDER DR S, MOBILE, AL 36608-2714
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2075
AL
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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