Kathy Deyoung Wyss COTA/L

NPI 1780875302 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1780875302
Gender Female
Enumeration Date 08/08/2007
Last Updated 08/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
200 BRICKSTONE SQ
ANDOVER MA, 01810-1437, US
Phone (978) 247-5100
Fax
Business Location
200 BRICKSTONE SQ
ANDOVER MA, 01810-1437, US
Phone
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State South Carolina
License Number 2397
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According to our database, Kathy Deyoung Wyss COTA/L NPI is 1780875302, taxonomy code is 224Z00000X and license number is 2397, license state is located at South Carolina. Kathy Deyoung Wyss COTA/L physically located at 200 Brickstone Sq, Andover MA, 01810-1437. NPI Number Kathy Deyoung Wyss COTA/L has the Individual type.

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1780875302 NPI number is provided on an as is basis without warranty of any kind. 1780875302 is maintained by the National Plan & Provider Enumeration System. The contents of Kathy Deyoung Wyss COTA/L are for informational purposes only.