Individual
LAUREN YACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-3323
(317) 573-1037
Mailing address
840 BAY HARBOR DR, MAINEVILLE, OH 45039-9421
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT010961
OH
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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