Provider Demographics
NPI:1891073094
Name:HINDS, YVONNE MICHELE (DPT)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:MICHELE
Last Name:HINDS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 CENTER ST
Mailing Address - Street 2:#300
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704-1223
Mailing Address - Country:US
Mailing Address - Phone:510-644-3031
Mailing Address - Fax:
Practice Address - Street 1:2000 CENTER ST
Practice Address - Street 2:#300
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-1223
Practice Address - Country:US
Practice Address - Phone:510-644-3031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-22
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY005815225100000X
CA41393225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist