Provider Demographics
NPI:1497041594
Name:YEO, INWOOK
Entity Type:Individual
Prefix:
First Name:INWOOK
Middle Name:
Last Name:YEO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 SUSAN CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-1414
Mailing Address - Country:US
Mailing Address - Phone:267-893-9768
Mailing Address - Fax:267-337-8106
Practice Address - Street 1:411 DOYLESTOWN RD UNIT G
Practice Address - Street 2:
Practice Address - City:MONTGOMERYVILLE
Practice Address - State:PA
Practice Address - Zip Code:18936-9636
Practice Address - Country:US
Practice Address - Phone:267-317-2387
Practice Address - Fax:267-337-8106
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-27
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010309111N00000X
PAPT030013225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
720520100Medicare PIN