Individual
KATIE YACEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
521 BROOKDALE DR, STATESVILLE, NC 28677-4107
(828) 775-4660
(980) 225-0189
Mailing address
521 BROOKDALE DR, STATESVILLE, NC 28677-4107
(828) 775-4660
(980) 225-0189
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9293
NC
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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