Basic Information
Provider Information
NPI: 1063948818
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YOOS
FirstName: CHELSEA
MiddleName: LEIGH
NamePrefix:  
NameSuffix:  
Credential: P.T., DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9901 GABLE RIDGE TER
Address2:  
City: ROCKVILLE
State: MD
PostalCode: 208504653
CountryCode: US
TelephoneNumber: 7248155664
FaxNumber:  
Practice Location
Address1: 10812 CONNECTICUT AVE
Address2:  
City: KENSINGTON
State: MD
PostalCode: 208952138
CountryCode: US
TelephoneNumber: 3019297100
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/11/2017
LastUpdateDate: 05/11/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X  Y Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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