Individual
JOHN HENRY YODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
4833 COUNTY ROAD 79A, BUTLER, IN 46721-9519
(260) 385-5991
Mailing address
4833 COUNTY ROAD 79A, BUTLER, IN 46721-9519
(260) 385-5991
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057.004148
IL
224Z00000X
Occupational Therapy Assistant
Primary
32002406A
IN
224Z00000X
Occupational Therapy Assistant
OT-A761
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057.004148
ILLINOIS STATE MEDICAL BOARD
IL
01
—
32002406A
INDIANA STATE MEDICAL BOARD
IN
01
—
OT-A761
ARKANSAS STATE MEDICAL BOARD
AR
Enumeration date
11/10/2014
Last updated
11/10/2014
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