Provider Demographics
NPI:1821787508
Name:YORK, ALORA ARIANNA
Entity Type:Individual
Prefix:
First Name:ALORA
Middle Name:ARIANNA
Last Name:YORK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 BLUE HERON DR
Mailing Address - Street 2:
Mailing Address - City:NEW JOHNSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37134-3415
Mailing Address - Country:US
Mailing Address - Phone:931-209-9057
Mailing Address - Fax:
Practice Address - Street 1:620 BLUE HERON COVE
Practice Address - Street 2:
Practice Address - City:NEW JONSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37134
Practice Address - Country:US
Practice Address - Phone:931-209-9057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant