MR. Randall Glenn Yates, OTR/L

NPI #1912236118 in Lake Mary, Florida

Provider Information

NPI Number
1912236118
Entity Type
Individual
Name
MR. Randall Glenn Yates, OTR/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist - Pediatrics
Credential
OTR/L
Enumeration Date
Dec 17, 2009
Last Updated
Dec 17, 2009

Practice Location

Address
290 WAYMONT CT
Address 2
SUITE 100
State
Florida
ZIP Code
32746-6748
Phone
(407) 833-2729

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - PediatricsPediatrics

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