EVAN JAY DETWEILER

FORT WAYNE, IN
NPI1255678074
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IN  31002343A)
Enumeration Date2013-01-14
Last Update Date2013-01-14
Business Address
-- EVAN JAY DETWEILER MBA, OT
611 W COUNTY LINE RD S
FORT WAYNE, IN 46814-7592
Phone number: 260-625-1445
Mailing Address
-- EVAN JAY DETWEILER MBA, OT
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number: 800-944-9782
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