Individual
EMAD YASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7271
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60638320
—
CO
01
—
7271
STATE LICENSE
CO
01
—
P00411530
RAILROAD MEDICARE
CO
Enumeration date
12/07/2006
Last updated
12/10/2007
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