Provider Demographics
NPI:1255664223
Name:JOSEPH, YVES JR (MSPT)
Entity type:Individual
Prefix:
First Name:YVES
Middle Name:
Last Name:JOSEPH
Suffix:JR
Gender:M
Credentials:MSPT
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Mailing Address - Street 1:711 WEST 40TH STREET, SUITE 212B
Mailing Address - Street 2:MARYLAND SPORTSCARE & REHAB, LLC
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21211
Mailing Address - Country:US
Mailing Address - Phone:410-243-5399
Mailing Address - Fax:410-243-5366
Practice Address - Street 1:711 WEST 40TH STREET, SUITE 212B
Practice Address - Street 2:MARYLAND SPORTSCARE & REHAB, LLC
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211
Practice Address - Country:US
Practice Address - Phone:410-243-5399
Practice Address - Fax:410-243-5366
Is Sole Proprietor?:No
Enumeration Date:2009-09-09
Last Update Date:2014-10-06
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Provider Licenses
StateLicense IDTaxonomies
MDPT21795225100000X
MD21795225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist