Paul Revere Fletcher III
Occupational Therapist
5050 Lincoln Ave
Evansville
, Indiana 47715-7390
Paul Revere Fletcher III
Occupational Therapist
5050 Lincoln Ave
Evansville
, Indiana 47715-7390
(812) 480-9291
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Paul Revere Fletcher III
- 2116 E Powell Ave
- Evansville, IN
- Zip : 47714-2228
- Phone : (812) 480-9291
Second Address
- Paul Revere Fletcher III
- 5050 Lincoln Ave
- Evansville, IN
- Zip : 47715-7390
- Phone : (844) 553-0199
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 31006771A | IN |
National Provider Identifier
| NPI | 1003370024 |
|---|---|
| Provider Name | Paul Revere Fletcher III |
| First Address | Evansville, IN 47714-2228 |
| Second Address | Evansville, IN 47715-7390 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/01/2019 |
| Last Update Date | 23/01/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.