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Joey D Yates, COTA/L

Occupational Therapy Assistant in Decatur, IL. Individual provider (NPI-1).

NPI number1386909166
StatusActive
Last updated in NPPESJul 9, 2012

Details

NPI
1386909166
Entity type
Individual (NPI-1)
Name
Mr. Joey D Yates
Credential
COTA/L
Sex
Male
Sole proprietor
No
Enumeration date
Jul 9, 2012
Last updated
Jul 9, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant057.003333ILYes

Practice location

2300 N Edward St
Decatur, IL 62526-4163

Phone 217-876-2600

Mailing address

609 Virginia Ave
Taylorville, IL 62568-1348

Phone 217-287-2062

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Other Occupational Therapy Assistant providers in Decatur, IL

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