SearchIllinoisOccupational Therapy Assistant

Evan Bullock

NPI 1891689394 · on the registry since 2025

Practice

Address
5277 E Maryland St
Decatur, IL 62521
Phone
(217) 408-5091
Clinicians at this address
4

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Sex
Male
Record last updated
2025-06-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois