Provider Demographics
NPI:1245779768
Name:YOGA AND PHYSICAL THERAPY
Entity Type:Organization
Organization Name:YOGA AND PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:NEWNAM
Authorized Official - Last Name:TERRY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:919-538-4023
Mailing Address - Street 1:354 CARLTON DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-3102
Mailing Address - Country:US
Mailing Address - Phone:919-538-4023
Mailing Address - Fax:
Practice Address - Street 1:354 CARLTON DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-3102
Practice Address - Country:US
Practice Address - Phone:919-538-4023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-16
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP7483261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy