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NPI Code Detail

MEDICARE: DR. AMY YORKE PT, PHD, NCS

MEDICARE: DR. AMY YORKE PT, PHD, NCS
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 Therapist5501006133MI

General Provider Information

NPI Number : 1710302617
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY YORKE PT, PHD, NCS
Provider Business Mailing Address
First Line : 303 E KEARSLEY ST
Second Line :
City : FLINT
State : MI
Zip : 48502-1907
Country : US
Telephone Number : 810-424-5269
Fax Number : 810-424-5374
Provider Business Practice Location Address
First Line : 303 E KEARSLEY ST
Second Line :
City : FLINT
State : MI
Zip : 48502-1907
Country : US
Telephone Number : 810-424-5269
Fax Number : 810-424-5374
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2014
Last Update Date : 02/28/2014

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