Individual
MRS. KATHLEEN MARIE YENULEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/OTR/L
Contact information
Practice address
2413 PROFESSIONAL DR, ROCKY MOUNT, NC 27804-2254
(252) 443-0808
(252) 451-9032
Mailing address
3153 OAKLYN SPRINGS DR, RALEIGH, NC 27606-8311
(919) 779-7944
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3001
NC
Other
Enumeration date
07/16/2006
Last updated
07/08/2007
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