Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 6612 | NC |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 6612 | NC |
NPI | 1063607448 |
---|---|
Provider Name | Linda Toyama-Yee |
First Address | Durham, NC 27705-1957 |
Second Address | Durham, NC 27705-1957 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2007 |
Last Update Date | 27/10/2007 |