Provider Demographics
NPI:1710687934
Name:YASAY, MARIA LYNN (PT)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:LYNN
Last Name:YASAY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:493 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07657-2601
Mailing Address - Country:US
Mailing Address - Phone:201-280-3738
Mailing Address - Fax:201-840-9683
Practice Address - Street 1:493 WALNUT ST
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07657-2601
Practice Address - Country:US
Practice Address - Phone:201-280-3738
Practice Address - Fax:201-840-9683
Is Sole Proprietor?:No
Enumeration Date:2023-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00312600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist