Provider Demographics
NPI:1841308855
Name:YOVINO, BARBARA
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:
Last Name:YOVINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3013 DA VINCI CT
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355-7814
Mailing Address - Country:US
Mailing Address - Phone:209-551-8178
Mailing Address - Fax:209-574-0739
Practice Address - Street 1:2303 GEER RD
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-2408
Practice Address - Country:US
Practice Address - Phone:209-669-6339
Practice Address - Fax:209-574-0739
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7046225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist