Individual
MS. KIMBERLY HOPE YECKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
672 MARINA DR STE 104, CHARLESTON, SC 29492-9084
(843) 475-6699
Mailing address
9221 N MORETO CIR, SUMMERVILLE, SC 29485-8870
(843) 475-6699
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5014
SC
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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