Individual
MICHAELA YENNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7051 HEATHCOTE VILLAGE WAY STE 105, GAINESVILLE, VA 20155-3197
(703) 291-1254
Mailing address
82 BETHANY RD STE 1, HAZLET, NJ 07730-1459
(732) 888-3912
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119011237
VA
225X00000X
Occupational Therapist
46TR01115800
NJ
Other
Enumeration date
03/20/2023
Last updated
02/18/2026
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