Individual
TOULONG SAILUE YANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
8965 REEPSVILLE RD, VALE, NC 28168-6761
(715) 383-9651
Mailing address
8965 REEPSVILLE RD, VALE, NC 28168-6761
(715) 383-9651
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12464
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12464
NORTH CAROLINA BOARDS OF OCCUPATIONAL THERAPY
NC
01
—
419678
NBCOT
—
Enumeration date
05/02/2019
Last updated
05/02/2019
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