| NPI | 1124264478 |
|---|---|
| Former Name | THERESA ANN YANIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60736405) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 8149) |
| 225100000X Physical Therapist (Licence: IL 070017118) | |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2017-10-09 |