IndividualActive
Tyler Wallen, OTR/L
NPI 1487960456 · Physical Rehabilitation Occupational Therapist · Warsaw, IN
Provider details
- NPI number
- 1487960456
- Entity type
- Individual
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Male
- Sole proprietor
- Yes
- License
- 31004893A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1500 Provident Dr
Warsaw, IN 46580-3297
Phone: (574) 371-2500
Approximate (ZIP-level) locationGet directions
Mailing address
1405 Brubaker St
Warsaw, IN 46580-2908
Registry dates
- Enumerated
- 2010-08-27
- Last updated
- 2010-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.