Individual
TAMMY LYNNETTE YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
2125 S 61ST ST, TEMPLE, TX 76504-6823
(254) 314-8580
Mailing address
5220 SPRING VALLEY RD STE 400, DALLAS, TX 75254-2512
(214) 466-1340
(214) 466-1378
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
207763
TX
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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