Provider Demographics
NPI:1790177533
Name:YORKE, ANDREW (PT, MPT)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:YORKE
Suffix:
Gender:M
Credentials:PT, MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3632 E 4TH ST
Mailing Address - Street 2:APT. 5
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90814-1659
Mailing Address - Country:US
Mailing Address - Phone:215-459-1040
Mailing Address - Fax:
Practice Address - Street 1:3632 E 4TH ST
Practice Address - Street 2:APT. 5
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90814-1659
Practice Address - Country:US
Practice Address - Phone:215-459-1040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist