Individual
YVONNE D WALLACE-ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2225 FOSTER ST, EVANSTON, IL 60201-3353
(847) 424-9784
Mailing address
2225 FOSTER ST, EVANSTON, IL 60201-3353
(847) 424-9784
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160004154
IL
Other
Enumeration date
10/05/2008
Last updated
10/05/2008
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