Provider Demographics
NPI:1114179074
Name:COLON, YOLANDA I (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:I
Last Name:COLON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3233 HARPERS FERRY CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-5030
Mailing Address - Country:US
Mailing Address - Phone:407-883-7588
Mailing Address - Fax:
Practice Address - Street 1:1335 LONGHILL DR
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-2430
Practice Address - Country:US
Practice Address - Phone:407-284-0371
Practice Address - Fax:321-256-2313
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT9672225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist