Individual
DR. YANNICK MAXIME MOMO TEFO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, DPM
Contact information
Practice address
5515 PEACH ST, ERIE, PA 16509-2603
(814) 868-8217
Mailing address
1200 WILLIAMSBURG CIR, GRAYSLAKE, IL 60030-7904
(563) 676-3316
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC007589
PA
225100000X
Physical Therapist
070.024167
IL
Other
Enumeration date
06/11/2021
Last updated
08/06/2025
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