Provider Demographics
NPI:1437657939
Name:YANKEY, MABEL N A (OTR/L, PAMS)
Entity Type:Individual
Prefix:MRS
First Name:MABEL
Middle Name:N A
Last Name:YANKEY
Suffix:
Gender:F
Credentials:OTR/L, PAMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:842 HARVEST MOON DR
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-2152
Mailing Address - Country:US
Mailing Address - Phone:240-755-4479
Mailing Address - Fax:
Practice Address - Street 1:842 HARVEST MOON DR
Practice Address - Street 2:
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-2152
Practice Address - Country:US
Practice Address - Phone:240-755-4479
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-30
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07275225X00000X
DCOT010000956225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist