Individual
COURTNEY YAMADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MS
Contact information
Practice address
1111 TRINITY LN, SUITE 111, BLOOMINGTON, IL 61704-8111
(309) 663-6461
(309) 661-8107
Mailing address
1111 TRINITY LN, SUITE 111, BLOOMINGTON, IL 61704-8111
(309) 663-6461
(309) 661-8107
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070011472
IL
Other
Enumeration date
08/03/2006
Last updated
01/09/2017
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