Individual
MR. BURTON LEE YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
3429 VALLEY VIEW AVE NW, ROANOKE, VA 24012-3921
(540) 278-3461
Mailing address
3429 VALLEY VIEW AVE NW, ROANOKE, VA 24012-3921
(540) 278-3461
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000531
VA
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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