Provider Demographics
NPI:1841635299
Name:YEROCK, ABRAEL G (OTR/L)
Entity type:Individual
Prefix:
First Name:ABRAEL
Middle Name:G
Last Name:YEROCK
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19303 FREMONT AVE N
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-3800
Mailing Address - Country:US
Mailing Address - Phone:206-546-7428
Mailing Address - Fax:
Practice Address - Street 1:11466 E BASELINE RD
Practice Address - Street 2:
Practice Address - City:HICKORY CORNERS
Practice Address - State:MI
Practice Address - Zip Code:49060-9515
Practice Address - Country:US
Practice Address - Phone:405-201-6477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-29
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist