Provider Demographics
NPI:1942693585
Name:ISAAC SYLVESTER, YOLANDA DENISE (LPTA)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:DENISE
Last Name:ISAAC SYLVESTER
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1984 SW 94TH TER
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-4748
Mailing Address - Country:US
Mailing Address - Phone:786-258-0864
Mailing Address - Fax:
Practice Address - Street 1:1984 SW 94TH TER
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-4748
Practice Address - Country:US
Practice Address - Phone:786-258-0864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-06
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20532225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant