Provider Demographics
NPI:1043346158
Name:YU, VERNA SIOKON (RPT)
Entity type:Individual
Prefix:MISS
First Name:VERNA
Middle Name:SIOKON
Last Name:YU
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1421 E CAMPER DR
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91792-1204
Mailing Address - Country:US
Mailing Address - Phone:626-367-2810
Mailing Address - Fax:626-917-7030
Practice Address - Street 1:3136 DEL MAR AVE
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-2326
Practice Address - Country:US
Practice Address - Phone:626-288-8353
Practice Address - Fax:626-307-7181
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA22321225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist