Individual
COLETTE MICHELLE YARDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
303 LAKE ST, CHADRON, NE 69337-2218
(502) 819-6395
Mailing address
303 LAKE ST, CHADRON, NE 69337-2218
(502) 819-6395
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
981
NE
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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