Provider Demographics
NPI:1336379254
Name:EVANS, TRIAILLYN COPENING (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:TRIAILLYN
Middle Name:COPENING
Last Name:EVANS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:TRIAILLYN
Other - Middle Name:MARIE
Other - Last Name:COPENING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:P O BOX 244
Mailing Address - Street 2:
Mailing Address - City:BUTNER
Mailing Address - State:NC
Mailing Address - Zip Code:27509-0244
Mailing Address - Country:US
Mailing Address - Phone:919-361-1090
Mailing Address - Fax:888-354-2009
Practice Address - Street 1:200 MEREDITH DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-2287
Practice Address - Country:US
Practice Address - Phone:919-361-1090
Practice Address - Fax:888-354-2009
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5860225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist