Toulong Sailue Yang, OTR
Individual provider Active NPI Occupational Therapist · Vale, NC
NPI 1376108696 · NPPES record last updated May 2, 2019
Key facts
- NPI
- 1376108696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 12464 (NC)
- Practice address
- 8965 Reepsville Rd
Vale, NC 28168-6761 - Phone
- (715) 383-9651
- NPI assigned
- May 2, 2019
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12464 | NC | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 12464 | NC | Yes |
Addresses
Primary practice location
8965 Reepsville Rd
Vale, NC 28168-6761
Mailing address
8965 Reepsville Rd
Vale, NC 28168-6761
Phone (715) 383-9651
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 419678 | Other | NBCOT | |
| 12464 | Other | NC | NORTH CAROLINA BOARDS OF OCCUPATIONAL THERAPY |
Other providers in Vale, NC
- Tas Drug West Lincoln, Inc.
- Trueway Services LLC
- Vale Medical Clinic
- Vale Medical Clinic PLLC
- Cale E. Watts
All providers in Vale, NC · Occupational Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.