Individual
MRS. EVA M YADEN
Active
Individual
MRS. EVA M YADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
134559
KY
225X00000X
Occupational Therapist
KY-R3001
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000377822
ANTHEM
—
05
—
7100089260
—
KY
Enumeration date
06/19/2006
Last updated
05/26/2016
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