Individual
MR. JOEY D YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2300 N EDWARD ST, DECATUR, IL 62526-4163
(217) 876-2600
Mailing address
609 VIRGINIA AVE, TAYLORVILLE, IL 62568-1348
(217) 287-2062
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.003333
IL
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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