Provider Demographics
NPI:1639427172
Name:YOCUM, PAIGE M
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:M
Last Name:YOCUM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17797 DRY RUN RD W
Mailing Address - Street 2:
Mailing Address - City:SPRING RUN
Mailing Address - State:PA
Mailing Address - Zip Code:17262-9751
Mailing Address - Country:US
Mailing Address - Phone:717-377-9283
Mailing Address - Fax:
Practice Address - Street 1:18889 CROGHAN PIKE
Practice Address - Street 2:
Practice Address - City:ORBISONIA
Practice Address - State:PA
Practice Address - Zip Code:17243-9685
Practice Address - Country:US
Practice Address - Phone:814-447-0300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant