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NPI Code Detail

MEDICARE: MARY BRIAN YOFFE PT

MEDICARE: MARY BRIAN YOFFE PT
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
1225100000XPhysical TherapistP18860NC

General Provider Information

NPI Number : 1184281222
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY BRIAN YOFFE PT
Provider Business Mailing Address
First Line : 5 BIRKDALE CT
Second Line :
City : DURHAM
State : NC
Zip : 27713-8154
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 VILLAGE WALK DR
Second Line :
City : HOLLY SPRINGS
State : NC
Zip : 27540-4440
Country : US
Telephone Number : 919-258-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2019
Last Update Date : 05/23/2019

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