Individual
KAYLA E YAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
918 JAMES ST, SYRACUSE, NY 13203
(315) 474-1561
Mailing address
159 W 1ST ST, OSWEGO, NY 13126-2045
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008202-1
NY
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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