Individual
CHRISTOPHER YANNACONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3107 W CAMP WISDOM RD, SUITE 950, DALLAS, TX 75237-2643
(214) 339-4533
Mailing address
4606 CEDAR SPRINGS RD APT 1322, DALLAS, TX 75219-7207
(214) 526-3064
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1135127
LICENSE #
TX
Enumeration date
08/30/2006
Last updated
07/08/2007
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