Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVAN JAY DETWEILER, MBA, OT
ActiveEVAN JAY DETWEILER, MBA, OT is a Occupational Therapist healthcare provider located in FORT WAYNE, Indiana. NPI 1255678074 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · FORT WAYNE, IN
Registration Details
- NPI Number
- 1255678074
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 14, 2013 (13.400670997243 yrs)
- Last Updated
- Jan 14, 2013
- License
-
31002343A (IN)
Practice Information
- Address
-
611 W COUNTY LINE RD SFORT WAYNE, IN, 468147592Browse IN providers · Browse ZIP 46814
- Phone
- 2606251445
- Fax
- 2606251445
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| SANDRA L HARLAN | O.T. | 1609875079 |
| NATALIE J BRANDENBURGER | OT | 1114927894 |
| JULIE MCELWAIN-GABRIEL | O.T. | 1184657223 |
| MARGARET KELLY | O.T. | 1508883083 |
| VALERIE K ARMSTRONG | O.T. | 1760400154 |
| MRS. CONCHITA PAGELA KRUEGER | OTR | 1376551168 |
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.