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Individual

MRS. LALAH FARSHY EVANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MHS, OTR/L

Contact information

Practice address
3160 NORTHSIDE PKWY NW, ATLANTA, GA 30327-1555
(404) 233-5332
Mailing address
79 BATES AVE SE, ATLANTA, GA 30317-2601
(404) 373-0699

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT004089
GA

Other

Enumeration date
06/23/2010
Last updated
06/23/2010
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