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NPI Code Detail

MEDICARE: LAURA YURCHAK PT, DPT

MEDICARE: LAURA YURCHAK PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251N0400XNeurology Physical TherapistLPT-034468AZ

General Provider Information

NPI Number : 1467315879
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA YURCHAK PT, DPT
Provider Business Mailing Address
First Line : 897 E ROMA AVE UNIT 3
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-4162
Country : US
Telephone Number : 517-897-5596
Fax Number :
Provider Business Practice Location Address
First Line : 222 W THOMAS RD STE 100
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4420
Country : US
Telephone Number : 602-406-1600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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Directions to “ LAURA YURCHAK PT, DPT” Practice Location

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