Most Relevant Information
Provider Data
| NPI Number: | 1003040593 |
| Provider Name: | CHI YOL PAK P.T. |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT00010706 |
Most Important Dates
| Enumeration Date: | 05/12/2009 |
| Last Updated: | 01/20/2015 |
Provider Practice Location
1510 SE 97TH AVE
VANCOUVER
WA
986643656
Practice Location Phone/Fax
| Phone: | 3609361557 |
| Fax: |
Provider Mailing Location
1510 SE 97TH AVE
VANCOUVER
WA
986643656
Provider Mailing Phone/Fax
| Phone: | 3609361557 |
| Fax: |