Individual
MR. YASUO KAMIBAYASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
304 OAK COVE DR, COLUMBIA, SC 29229-7516
(845) 649-6574
Mailing address
304 OAK COVE DR, COLUMBIA, SC 29229-7516
(845) 649-6574
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6084
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10768430
CAQH NO.
NY
01
—
Q15C23
EMPIRE BCBS PROV. NO.
NY
Enumeration date
05/30/2006
Last updated
01/07/2022
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