Jennifer M Yost, COTA

Individual provider Active NPI Occupational Therapy Assistant · Marmet, WV

NPI 1043592371 · NPPES record last updated Sep 13, 2011

Key facts

NPI
1043592371
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
1743 (WV)
Practice address
1 Sutphin Dr
Marmet, WV 25315-1977
Phone
(304) 949-1580
NPI assigned
Sep 13, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1743WVMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1743 WV Yes

Addresses

Primary practice location

1 Sutphin Dr
Marmet, WV 25315-1977

Mailing address

1 Sutphin Dr
Marmet, WV 25315-1977
Phone (304) 949-1580

Other providers in Marmet, WV

All providers in Marmet, WV · Occupational Therapy Assistant in West Virginia

Sources for this page

Verify at the official NPI Registry.