Evan Bullock
Evan Bullock is an Occupational Therapy Assistant in Decatur, Illinois. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
5277 E Maryland StDecatur, IL 62521-9705
Phone: (217) 408-5091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X |
|---|
Record details
| NPI number | 1891689394 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | No |
| NPI enumerated | June 7, 2025 |
| Last updated in NPPES | June 7, 2025 |
| Certification date | June 7, 2025 |
| Mailing address | 5277 E Maryland St, Decatur, IL 62521-9705 |
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Brittani A Dalton, COTA/L
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