Individual
EVAN WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2 BROADWAY PLZ, PERU, IN 46970-1052
(765) 753-8829
Mailing address
14914 N 600 E, ROANN, IN 46974-9268
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
IN
Other
Enumeration date
11/12/2025
Last updated
11/19/2025
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