Individual
GEORGENA YANOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
516 MAIN STREET #103, SALMON, ID 83467
(484) 388-9729
Mailing address
516 MAIN ST # 103, SALMON, ID 83467-4219
(484) 388-9729
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
945
ID
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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