Doctor Name: | MR. ROBERT DOUGLAS YARBROUGH |
NPI Number: | 1144466905 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 13800 Heacock St Suite C236 Moreno Valley, CA - 925533339 |
Business Phone Number: | 9516530819 |
Business Fax Number: | 9516562614 |
Mailing Address: | 15181 Van Buren Blvd, Space 22 RIVERSIDE |
State: | CA |
Postal Code: | 925045662 |
Phone Number: | 9517761552 |
Fax Number: | 9517761552 |
NPI Enumeration Date: | 12/29/2008 |
NPI Last Update Date: | 12/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |