Holly Lynn Yanzer, | |
3354 Jerome Ln, Cahokia, IL 62206-2604 | |
(618) 337-9400 | |
Not Available |
Full Name | Holly Lynn Yanzer |
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Gender | Female |
Speciality | Physical Therapist |
Location | 3354 Jerome Ln, Cahokia, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134647902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070.023128 (Illinois) | Primary |
Provider Name | Comprehensive Therapeutics Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699094102 PECOS PAC ID: 8921230137 Enrollment ID: O20140422000663 |
Provider Name | Empowerme Rehabilitation Illinois Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1679098263 PECOS PAC ID: 2365718277 Enrollment ID: O20171020001353 |
Provider Name | Legacy Healthcare Services Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689141376 PECOS PAC ID: 2163339722 Enrollment ID: O20200427002510 |
Provider Name | Empowerme Wellness Kansas City Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174118103 PECOS PAC ID: 9830504836 Enrollment ID: O20210317001954 |
Mailing Address | Practice Location Address |
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Holly Lynn Yanzer, 139 Stonebriar Dr, Troy, IL 62294-1752 Ph: (618) 830-7195 | Holly Lynn Yanzer, 3354 Jerome Ln, Cahokia, IL 62206-2604 Ph: (618) 337-9400 |
Leah A Balonzo, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 3354 Jerome Ln, Rehab Dept, Cahokia, IL 62206 Phone: 217-381-7666 Fax: 618-332-0456 |