MEDICARE: YAHONG YANG

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	225X00000X	Occupational Therapist	5201008473	MI

General Provider Information

NPI Number	:	1518489947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAHONG YANG

Provider Business Mailing Address
First Line	:	2656 PATRICK HENRY ST
Second Line	:
City	:	AUBURN HILLS
State	:	MI
Zip	:	48326-2331
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4460 ORCHARD LAKE RD
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48323-2382
Country	:	US
Telephone Number	:	586-335-8182
Fax Number	:

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

Provider Enumeration Date	:	07/07/2017
Last Update Date	:	07/07/2017

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Directions to “ YAHONG YANG ” Practice Location

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