Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Evan Jay Detweiler, MBA, OT

Individual provider Occupational Therapist · NPI 1255678074

Evan Jay Detweiler, MBA, OT is an Occupational Therapist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2013.

Licensed in
IN
In the registry since
2013
What do these letters mean?
MBA — Master of Business Administration
A graduate business degree.
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

611 W County Line Rd S
Fort Wayne, IN 46814-7592
Phone: (260) 625-1445
Fax: (260) 625-1445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 31002343A (IN)

Record details

NPI number1255678074
Entity typeIndividual (Type 1)
GenderMale
Credentials MBA , OT
Sole proprietorNo
NPI enumeratedJanuary 14, 2013
Last updated in NPPESJanuary 14, 2013

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