Most Relevant Information
Provider Data
| NPI Number: | 1003370024 |
| Provider Name: | PAUL REVERE FLETCHER OTR |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 31006771A |
Most Important Dates
| Enumeration Date: | 01/23/2019 |
| Last Updated: | 01/23/2019 |
Provider Practice Location
5050 LINCOLN AVE
EVANSVILLE
IN
477157390
Practice Location Phone/Fax
| Phone: | 8445530199 |
| Fax: |
Provider Mailing Location
2116 E POWELL AVE
EVANSVILLE
IN
477142228
Provider Mailing Phone/Fax
| Phone: | 8124809291 |
| Fax: |