Provider Demographics
NPI:1104289446
Name:TU, YALI
Entity type:Individual
Prefix:
First Name:YALI
Middle Name:
Last Name:TU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2494 BERNVILLE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19605-9468
Mailing Address - Country:US
Mailing Address - Phone:610-378-2225
Mailing Address - Fax:610-208-8839
Practice Address - Street 1:2494 BERNVILLE RD STE 201
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19605-9468
Practice Address - Country:US
Practice Address - Phone:610-378-2225
Practice Address - Fax:610-208-8839
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-04
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4827242081P2900X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty