| Doctor Name: | MS. YOLANDE MICHELLE MAVITY |
| NPI Number: | 1801049861 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | 35049 |
| Business Practice Address: | 12660 Riverside Dr Ste. 215 Valley Village, CA - 916073429 |
| Business Phone Number: | 8185067821 |
| Business Fax Number: | 8185066722 |
| Mailing Address: | 12660 Riverside Dr, Ste. 215 VALLEY VILLAGE |
| State: | CA |
| Postal Code: | 916073429 |
| Phone Number: | 8185067821 |
| Fax Number: | 8185066722 |
| NPI Enumeration Date: | 11/03/2008 |
| NPI Last Update Date: | 11/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 35049 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |