MEDICARE: ANNE WOOD YEARICK 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
1	174400000X	Specialist	DAPT000660	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5383525	OTHER	PA	AETNA/USHEALTHCARE PPO/PO
3	2792659	OTHER	PA	AETNA/USHEALTHCARE HMO/QP
4	YE828358	OTHER	PA	HIGHMARK BC/BS/KEYSTONE

General Provider Information

NPI Number	:	1376657700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE WOOD YEARICK PT

Provider Business Mailing Address
First Line	:	2035 HAMPSTEAD DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-5038
Country	:	US
Telephone Number	:	412-244-0510
Fax Number	:

Provider Business Practice Location Address
First Line	:	13898 ROUTE 30
Second Line	:
City	:	NORTH HUNTINGDON
State	:	PA
Zip	:	15642-2133
Country	:	US
Telephone Number	:	724-861-6001
Fax Number	:	724-861-9155

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	07/08/2007

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Directions to “ ANNE WOOD YEARICK PT” Practice Location

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