Provider Demographics
NPI:1144426263
Name:YAP, ALCESTIS GENEVIEVE (PT)
Entity Type:Individual
Prefix:
First Name:ALCESTIS
Middle Name:GENEVIEVE
Last Name:YAP
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ALCESTIS GENEVIEVE
Other - Middle Name:LIMCAY
Other - Last Name:GONZALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:5405 STONE LAKE DR
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76310-8012
Mailing Address - Country:US
Mailing Address - Phone:940-228-5769
Mailing Address - Fax:
Practice Address - Street 1:5405 STONE LAKE DR
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76310-8012
Practice Address - Country:US
Practice Address - Phone:940-228-5769
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1172622225100000X
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist