Provider Demographics
NPI:1689955445
Name:YAGER, ANNA ERIN (OT)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:ERIN
Last Name:YAGER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1445 CLIFFORD AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621-4220
Mailing Address - Country:US
Mailing Address - Phone:585-325-6945
Mailing Address - Fax:
Practice Address - Street 1:1445 CLIFFORD AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-4220
Practice Address - Country:US
Practice Address - Phone:585-325-6945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-07
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010477-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist