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Individual

BERIAH YISRAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
6000 VAN AALST BLVD, FORT BENNING, GA 31905
(706) 544-2994
Mailing address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(706) 544-2994

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013166
GA

Other

Enumeration date
11/19/2017
Last updated
02/28/2024
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