Individual
HALLE YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1204 LINDEN ST, DALLAS CENTER, IA 50063
(515) 992-3735
Mailing address
6455 GALLERIA DR APT 3104, WEST DES MOINES, IA 50266-6694
(515) 681-2622
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
081298
IA
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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