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NPI Code Detail

MEDICARE: MRS. BARBARA JOY MATHES YURKUTAT OTR/L

MEDICARE: MRS. BARBARA JOY MATHES YURKUTAT 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
1225XP0200XPediatric Occupational Therapist4869NC

General Provider Information

NPI Number : 1770984486
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BARBARA JOY MATHES YURKUTAT OTR/L
Provider Business Mailing Address
First Line : 7532 WILKINS DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28311-9338
Country : US
Telephone Number : 910-868-6000
Fax Number :
Provider Business Practice Location Address
First Line : 7532 WILKINS DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28311-9338
Country : US
Telephone Number : 910-868-6000
Fax Number : 186-647-5836
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2014
Last Update Date : 09/12/2014

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