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NPI Code Detail

MEDICARE: CATHELYN YABUT PTA

MEDICARE: CATHELYN YABUT PTA
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
1225200000XPhysical Therapy Assistant010872-1NY

General Provider Information

NPI Number : 1013635077
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHELYN YABUT PTA
Provider Business Mailing Address
First Line : 6 BUSH ST APT A
Second Line :
City : BERGENFIELD
State : NJ
Zip : 07621-2413
Country : US
Telephone Number : 201-540-7595
Fax Number :
Provider Business Practice Location Address
First Line : 6585 BROADWAY
Second Line :
City : BRONX
State : NY
Zip : 10471-2050
Country : US
Telephone Number : 718-549-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2022
Last Update Date : 08/16/2022

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Directions to “ CATHELYN YABUT PTA” Practice Location

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