Basic Information
| Provider Information | |||||||||
| NPI: | 1912020264 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | QIAN | ||||||||
| FirstName: | YONGYI | ||||||||
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| Credential: | OT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 327 MANCHESTER COURT | ||||||||
| Address2: | |||||||||
| City: | RICHMOND HEIGHTS. | ||||||||
| State: | OH | ||||||||
| PostalCode: | 44143 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2162618019 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3 MERIT DRIVE | ||||||||
| Address2: | |||||||||
| City: | RICHMOND HEIGHTS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 44143 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2162619600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/09/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | OT-5421 | OH | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.