Provider Demographics
NPI:1487326781
Name:STEWART, YAUNNA EUGENIA (COTA/L)
Entity type:Individual
Prefix:MRS
First Name:YAUNNA
Middle Name:EUGENIA
Last Name:STEWART
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 1:18579 E 47TH PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80249-7808
Mailing Address - Country:US
Mailing Address - Phone:843-224-6755
Mailing Address - Fax:
Practice Address - Street 1:18579 E 47TH PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80249-7808
Practice Address - Country:US
Practice Address - Phone:843-224-6755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-05
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOTA-0001510224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant