Provider Demographics
NPI:1205279114
Name:BISWOKARMA, YVONNE LORRAINE (MSPT)
Entity type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:LORRAINE
Last Name:BISWOKARMA
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 894
Mailing Address - Street 2:
Mailing Address - City:BARROW
Mailing Address - State:AK
Mailing Address - Zip Code:99723-0894
Mailing Address - Country:US
Mailing Address - Phone:907-852-3099
Mailing Address - Fax:907-852-3552
Practice Address - Street 1:1655 OKPIK STREET
Practice Address - Street 2:
Practice Address - City:BARROW
Practice Address - State:AK
Practice Address - Zip Code:99723
Practice Address - Country:US
Practice Address - Phone:907-852-3099
Practice Address - Fax:907-852-3552
Is Sole Proprietor?:No
Enumeration Date:2013-04-10
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK2577225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK2577OtherSTATE LICENSE