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Individual

MRS. TERRA MCCOY YASKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTR/L, CHT

Contact information

Practice address
2459 CARDINAL LANE, PALM BEACH GARDENS, FL 33410
(561) 723-8437
Mailing address
2459 CARDINAL LANE, PALM BEACH GARDENS, FL 33410
(561) 723-8437

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT9985
FL
225XH1200X
Hand Occupational Therapist
Primary
OT9985
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
EN537Z
MEDICARE PTAN
FL
Enumeration date
04/23/2009
Last updated
10/19/2015
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