Most Relevant Information
Provider Data
| NPI Number: | 1003416595 |
| Provider Name: | ANDREW YANES |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 31403 |
Most Important Dates
| Enumeration Date: | 10/26/2020 |
| Last Updated: | 10/27/2020 |
Provider Practice Location
7707 W DEER VALLEY RD STE 100
PEORIA
AZ
853822101
Practice Location Phone/Fax
| Phone: | 4807061161 |
| Fax: |
Provider Mailing Location
18235 N 37TH DR
GLENDALE
AZ
853081921
Provider Mailing Phone/Fax
| Phone: | 6237920084 |
| Fax: |