Individual
ELIZABETH YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 W COUNTY LINE RD, GREENWOOD, IN 46142-5249
(800) 486-4449
Mailing address
1411 W COUNTY LINE RD, GREENWOOD, IN 46142-5249
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003047A
IN
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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