National Provider Identifier

Gary J Yax, OT

Gary J Yax, OT is listed in the NPPES registry with a primary specialty of Occupational Therapist in Canandaigua, NY and a listed phone number of (585) 393-7952.

NPI 1891883740Canandaigua, NYOccupational Therapist

Profile Overview

NPI
1891883740
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
October 10, 2006
Last Updated
July 11, 2007

Practice Location

  • 400 Fort Hill Ave
  • Canandaigua, NY 14424-1159

Phone: (585) 393-7952

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1891883740
Entity Type
Individual
Last Name
Yax
First Name
Gary
Middle Name
J
Credential
OT
Mailing Street Address
400 Fort Hill Ave
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-1159
Mailing Country
US
Mailing Phone
(585) 393-7952
Practice Street Address
400 Fort Hill Ave
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1159
Practice Country
US
Practice Phone
(585) 393-7952
Enumeration Date
October 10, 2006
Last Updated
July 11, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)