Provider Demographics
NPI:1700820867
Name:YEE, YEERIA (OTR)
Entity Type:Individual
Prefix:
First Name:YEERIA
Middle Name:
Last Name:YEE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:SOOK-CHAING
Other - Middle Name:
Other - Last Name:YEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:17 HOLMES LN
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2814
Mailing Address - Country:US
Mailing Address - Phone:973-720-9234
Mailing Address - Fax:973-720-9234
Practice Address - Street 1:1 NARDONE PL
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-3514
Practice Address - Country:US
Practice Address - Phone:201-792-3840
Practice Address - Fax:732-855-9755
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2019-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00343400225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist