IndividualActive
Jonathan Yanke, CPO
NPI 1124067939 · Prosthetist · Severna Park, MD
Provider details
- NPI number
- 1124067939
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- No
Practice location
844 Ritchie Hwy
Ste 202
Severna Park, MD 21146-4137
Phone: (410) 353-7069
Fax: (866) 294-9581
Mailing address
348 Thompson Creek Mall
Stevensville, MD 21666-2500
Registry dates
- Enumerated
- 2006-06-06
- Last updated
- 2016-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.