Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 2431 | NC |
NPI | 1043431745 |
---|---|
Provider Name | Mrs. Michelle K Yoder |
First Address | Pineville, NC 28134-8563 |
Second Address | Pineville, NC 28134-8563 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 08/01/2009 |