Provider Demographics
NPI:1508017997
Name:YEAKEL, DEBBIE A (COTA/L)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:A
Last Name:YEAKEL
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MISS
Other - First Name:DEBBIE
Other - Middle Name:ANN
Other - Last Name:YEAKEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:COTA/L
Mailing Address - Street 1:4100 FREEMANSBURG AVE
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-5540
Mailing Address - Country:US
Mailing Address - Phone:610-330-9030
Mailing Address - Fax:
Practice Address - Street 1:4100 FREEMANSBURG AVE
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-5540
Practice Address - Country:US
Practice Address - Phone:610-330-9030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-04
Last Update Date:2008-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0P000434L224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant