Provider Demographics
NPI:1225499940
Name:YAMBERT, JANELLE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:JANELLE
Middle Name:
Last Name:YAMBERT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3102 BREAKWATER CT
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-6428
Mailing Address - Country:US
Mailing Address - Phone:217-369-2669
Mailing Address - Fax:
Practice Address - Street 1:3102 BREAKWATER CT
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-6428
Practice Address - Country:US
Practice Address - Phone:217-369-2669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-08
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT30447225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist