Organization
YAY OT 4 KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY MCCALL OTR/L (OWNER/THERAPIST)
(828) 582-7109
Entity
Organization
Contact information
Practice address
305 N 15TH ST, WILMINGTON, NC 28401-3813
(910) 685-7007
(910) 516-1666
Mailing address
305 N 15TH ST, WILMINGTON, NC 28401-3813
(910) 685-7007
(910) 516-1666
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3841
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170090636
—
NC
Enumeration date
09/17/2016
Last updated
09/17/2016
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