Individual provider · Type 1 NPI

Evan Jay Detweiler, MBA, OT

Occupational Therapist · Fort Wayne, IN

NPI number 1255678074 Active

Practice location

611 W County Line Rd S
Fort Wayne, IN 46814-7592

Call (260) 625-1445 Map

Fax (260) 625-1445

Mailing address

2222 Sullivan Trl
Easton, PA 18040-7958

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X31002343A (IN)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1255678074

Evan Jay Detweiler, MBA, OT's National Provider Identifier is 1255678074, issued on Jan 14, 2013. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jan 14, 2013.