Individual
COLLEEN YOUTSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4815 ALDBURY LN, SUWANEE, GA 30024-3303
(770) 205-0810
Mailing address
4815 ALDBURY LN, SUWANEE, GA 30024-3303
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000751
GA
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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