Provider Demographics
NPI:1538726609
Name:TOMIUK, TETYANA
Entity type:Individual
Prefix:
First Name:TETYANA
Middle Name:
Last Name:TOMIUK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TETYANA
Other - Middle Name:
Other - Last Name:MONSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:45 STREAMWOOD
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-1937
Mailing Address - Country:US
Mailing Address - Phone:909-809-9925
Mailing Address - Fax:
Practice Address - Street 1:3 PURSUIT
Practice Address - Street 2:
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-4213
Practice Address - Country:US
Practice Address - Phone:909-809-9925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-23
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant