Provider Demographics
NPI:1073852000
Name:ESHKENAZI, YONA MIRIAM (PT)
Entity Type:Individual
Prefix:MS
First Name:YONA
Middle Name:MIRIAM
Last Name:ESHKENAZI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:YONA
Other - Middle Name:MIRIAM
Other - Last Name:REMBAUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:7624 E MERCER PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-2123
Mailing Address - Country:US
Mailing Address - Phone:303-885-8767
Mailing Address - Fax:
Practice Address - Street 1:7624 E MERCER PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-2123
Practice Address - Country:US
Practice Address - Phone:303-885-8767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-12
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0012057225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist