Individual
MARY K YELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
360 E ENON RD, YELLOW SPRINGS, OH 45387-1415
(937) 767-1303
Mailing address
9741 CENTERVILLE CREEK LN, CENTERVILLE, OH 45458-5520
(937) 304-1627
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OT.005649
OH
225X00000X
Occupational Therapist
Primary
OT005649
OH
Other
Enumeration date
12/29/2011
Last updated
09/22/2022
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