Individual
CRYSTAL YANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
249 HIGH ST, NEWTON, NJ 07860-9600
(973) 579-4242
Mailing address
21 MARYLAND AVE, MIDDLETOWN, NY 10940-6109
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09064400
NJ
224Z00000X
Occupational Therapy Assistant
64006079
NY
224Z00000X
Occupational Therapy Assistant
OP009276
PA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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