Provider Demographics
NPI:1952153918
Name:YUCIS PHYSICAL THERAPY
Entity Type:Organization
Organization Name:YUCIS PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:YUCIS
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:856-952-8372
Mailing Address - Street 1:2338 FERNWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ATCO
Mailing Address - State:NJ
Mailing Address - Zip Code:08004-1358
Mailing Address - Country:US
Mailing Address - Phone:856-952-8372
Mailing Address - Fax:
Practice Address - Street 1:2338 FERNWOOD AVE
Practice Address - Street 2:
Practice Address - City:ATCO
Practice Address - State:NJ
Practice Address - Zip Code:08004-1358
Practice Address - Country:US
Practice Address - Phone:856-952-8372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy