Provider Demographics
NPI:1326016668
Name:YOUMAN, ELAINE SANDRA (PT)
Entity Type:Individual
Prefix:MRS
First Name:ELAINE
Middle Name:SANDRA
Last Name:YOUMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 BEECHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02748-1513
Mailing Address - Country:US
Mailing Address - Phone:508-993-6386
Mailing Address - Fax:
Practice Address - Street 1:40 BEECHWOOD DR
Practice Address - Street 2:
Practice Address - City:DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02748-1513
Practice Address - Country:US
Practice Address - Phone:508-993-6386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1626225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
YO Y69111Medicare ID - Type Unspecified