Individual
YVETTE VANDIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 913-3361
Mailing address
10776 24TH ST, LIVE OAK, FL 32060-9221
(561) 262-4297
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2024-0128
NM
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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