Individual
MISS STEPHANIE JO YANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1301 N ALPINE RD, ROCKFORD, IL 61107-2262
(779) 696-4590
Mailing address
206 STARFIRE RD, POPLAR GROVE, IL 61065-7821
(773) 762-9819
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/12/2011
Last updated
02/01/2023
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