Provider Demographics
NPI:1215275524
Name:YARBROUGH, GINA (PT)
Entity type:Individual
Prefix:MRS
First Name:GINA
Middle Name:
Last Name:YARBROUGH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 MEANDERING LN
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-7355
Mailing Address - Country:US
Mailing Address - Phone:209-404-3835
Mailing Address - Fax:
Practice Address - Street 1:322 MEANDERING LN
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-7355
Practice Address - Country:US
Practice Address - Phone:209-404-3835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-21
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25528208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation