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NPI Code Detail

MEDICARE: SARAH H YONG OTR/L

MEDICARE: SARAH H YONG OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist46TR00978200NJ

General Provider Information

NPI Number : 1194391375
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH H YONG OTR/L
Provider Business Mailing Address
First Line : 18 EAGLE DR
Second Line :
City : EGG HARBOR TOWNSHIP
State : NJ
Zip : 08234-4315
Country : US
Telephone Number : 609-513-8880
Fax Number :
Provider Business Practice Location Address
First Line : 6818 DELILAH RD
Second Line :
City : EGG HARBOR TOWNSHIP
State : NJ
Zip : 08234-9594
Country : US
Telephone Number : 609-513-8880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2021
Last Update Date : 05/28/2021

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