Basic Information
| Provider Information | |||||||||
| NPI: | 1225232192 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YAP | ||||||||
| FirstName: | CINDERELLA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MISS | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 840 W BRIARCLIFF RD | ||||||||
| Address2: | |||||||||
| City: | BOLINGBROOK | ||||||||
| State: | IL | ||||||||
| PostalCode: | 604406149 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6303780055 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6801 HIGH GROVE BLVD | ||||||||
| Address2: | |||||||||
| City: | BURR RIDGE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 605277585 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6309202900 | ||||||||
| FaxNumber: | 6309202453 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2007 | ||||||||
| LastUpdateDate: | 08/22/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 070.013557 | IL | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.