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

Mr. Lezeric Anzel Fallen, OTA

Individual provider Occupational Therapy Assistant · NPI 1194078972

Mr. Lezeric Anzel Fallen, OTA is an Occupational Therapy Assistant in Evansville, Indiana. Licensed in Indiana. Registered with an NPI since 2012.

Licensed in
IN
In the registry since
2012

Practice location Address checks out

1157 S Kentucky Ave
Evansville, IN 47714-2737
Phone: (812) 402-0460
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 32000566A (IN)

Record details

NPI number1194078972
Entity typeIndividual (Type 1)
GenderMale
Credentials OTA
Sole proprietorNo
NPI enumeratedOctober 18, 2012
Last updated in NPPESOctober 18, 2012
Mailing address1157 S Kentucky Ave, Evansville, IN 47714-2737

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