Individual
BILLIE YATTA
Active
Individual
BILLIE YATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018750
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102086947
—
PA
01
—
19510030005
MEDICAL ASSISTANCE
—
01
—
1975704
HIGHMARK
PA
Enumeration date
06/20/2007
Last updated
08/12/2008
Update your record
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