Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | JT0000916 | DE |
NPI | 1003272584 |
---|---|
Provider Name | Hannah Rebekah Yoder |
First Address | Baltimore, MD 21297-3586 |
Second Address | Harrington, DE 19952-1217 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2016 |
Last Update Date | 13/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000220726 | (05) | DE |