Individual
MRS. ANDREA M YANNELLI-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1270 BROADCASTING RD, WYOMISSING, PA 19610-3203
(610) 372-1586
(610) 372-1589
Mailing address
1270 BROADCASTING RD, WYOMISSING, PA 19610-3203
(610) 372-1586
(610) 372-1589
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002842E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50071312
BLUE CROSS
PA
01
—
643454
BLUE SHIELD
PA
Enumeration date
08/09/2005
Last updated
10/12/2007
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