EVAN BULLOCK

Occupational Therapy Assistant

Active Individual
NPI: 1891689394

Practice Address

5277 E MARYLAND ST
Decatur, IL 62521

Phone: (217) 408-5091

Specialties

Specialty Code Primary License
Occupational Therapy Assistant 224Z00000X Yes -

Frequently Asked Questions

NPI 1891689394 is the National Provider Identifier for EVAN BULLOCK, a Occupational Therapy Assistant provider located in Decatur, IL. This NPI was enumerated on June 7, 2025.
EVAN BULLOCK practices at 5277 E MARYLAND ST, Decatur, IL 62521.

Quick Facts

NPI
1891689394
Type
Individual
Enumerated
Jun 7, 2025
Last Updated
Jun 7, 2025

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