Provider Demographics
NPI:1356535652
Name:FORBES, YVETTE JANENE (COTA/L)
Entity type:Individual
Prefix:MS
First Name:YVETTE
Middle Name:JANENE
Last Name:FORBES
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CAREER STAFF UNLIMITED-ATLANTA ALLIED
Mailing Address - Street 2:4562 LAWRENCEVILLE HIGHWAY SUITE 201
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047
Mailing Address - Country:US
Mailing Address - Phone:770-806-4136
Mailing Address - Fax:770-806-4139
Practice Address - Street 1:4562 LAWRENCEVILLE HWY NW
Practice Address - Street 2:SUITE 201
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-3618
Practice Address - Country:US
Practice Address - Phone:770-806-4136
Practice Address - Fax:770-806-4139
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAA00236224Z00000X
AL2752224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant