NPI 1154543163

Ellen Marie Yach, LPTA

Practitioner Physical Therapy Assistant Woodbridge, VA

Practice location

Address: 12191 Clipper Dr, Woodbridge, VA 22192-2237
Phone: (703) 496-3486
Mailing address: 14210 Ferndale Rd, Woodbridge, VA 22193-2133

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2306001136 (VA)

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Registry record

NPI: 1154543163
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.