Most Relevant Information
Provider Data
| NPI Number: | 1003489303 |
| Provider Name: | SARAH MARY EVANKO OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225XP0200X |
| Specialty: | Occupational Therapist |
| License Number: | 14168 |
Most Important Dates
| Enumeration Date: | 07/23/2021 |
| Last Updated: | 07/23/2021 |
Provider Practice Location
4012 PARK RD STE 200
CHARLOTTE
NC
282092378
Practice Location Phone/Fax
| Phone: | 7045419080 |
| Fax: |
Provider Mailing Location
4012 PARK RD STE 200
CHARLOTTE
NC
282092378
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |