MEDICARE: KATHLEEN MARIE YOPP OTR

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
1	225XP0200X	Pediatric Occupational Therapist	0119002427	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336360817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN MARIE YOPP OTR

Provider Business Mailing Address
First Line	:	637 KINGSBOROUGH SQ STE A
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-4944
Country	:	US
Telephone Number	:	757-698-4681
Fax Number	:	757-401-4441

Provider Business Practice Location Address
First Line	:	637 KINGSBOROUGH SQ STE A
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-4944
Country	:	US
Telephone Number	:	757-698-4681
Fax Number	:	757-401-4441

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	06/09/2023

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