Individual
MR. ADAM WAYNE YAKAVONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
211 FRANKLIN ST, QUINCY, MA 02169-7833
(617) 479-0837
Mailing address
211 FRANKLIN ST, QUINCY, MA 02169-7833
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3613
MA
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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