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General NPI Number Information
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NPI Number | 1265390710
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Entity Type | Organization
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Legal Business Name | YELLOW RIVER THERAPY
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 401 CAMPBELL DR
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City | TUSKEGEE
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State | AL
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Zip | 36083-2319
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Country | US
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Telephone | 334-657-5700
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Fax | 334-657-5700
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Provider Business Mailing Address
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Address Line | 401 CAMPBELL DR
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City | TUSKEGEE
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State | AL
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Zip | 36083-2319
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Country | US
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Telephone | 334-657-5700
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Fax | 334-657-5700
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Authorized Official
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Title or Position | OWNER/CEO
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Name | JAMILA CHANTILE WALKER
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Credential | OTR/L
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Telephone | 334-657-5700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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Taxonomy #5
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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Taxonomy #6
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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