Healthcare Provider Details

I. General information

NPI: 1598958829
Provider Name (Legal Business Name): HELEN EVANS KOVACS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2007
Last Update Date: 08/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 S. GENERALS BLVD.
LINCOLNTON NC
28092
US

IV. Provider business mailing address

275 SPICEWOOD CIR
TROUTMAN NC
28166-7620
US

V. Phone/Fax

Practice location:
  • Phone: 704-735-8065
  • Fax:
Mailing address:
  • Phone: 704-528-2046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number0969
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: