Provider Demographics
NPI:1447416300
Name:YEATS, CAROL FRANCISCA (OTR/L)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:FRANCISCA
Last Name:YEATS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:MCDONALD
Other - Last Name:YEATS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5917 NW 54TH WAY
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32653-3268
Mailing Address - Country:US
Mailing Address - Phone:352-377-2241
Mailing Address - Fax:
Practice Address - Street 1:5917 NW 54TH WAY
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32653-3268
Practice Address - Country:US
Practice Address - Phone:352-377-2241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT1435225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist