Individual
ELIZABETH YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-7734
Mailing address
22101 MOROSS RD, DETROIT, MI 48236-2148
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5501015152
—
MI
Enumeration date
02/22/2018
Last updated
02/22/2018
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