Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVAN JURJEVIC
ActiveEVAN JURJEVIC is a Environmental Modification (OT) healthcare provider located in FORT WAYNE, Indiana. NPI 1154990893 is currently active in the NPPES registry. Verify at CMS.
Environmental Modification (OT) · FORT WAYNE, IN
Registration Details
- NPI Number
- 1154990893
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2021 (5.170306573668 yrs)
- Last Updated
- Jun 30, 2021
- License
-
05014201A (IN)
Practice Information
- Address
-
3946 ICE WAYFORT WAYNE, IN, 468051018Browse IN providers · Browse ZIP 46805
- Phone
- 2602664007
- Primary Specialty
-
Environmental Modification (OT)
2251S0007X
Other Environmental Modification (OT) Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| BRAYDEN CLAYE CLARK | — | 1316787823 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.