Individual
MARIONETTE YARBROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
960 AVENT DR, GRENADA, MS 38901-5230
(662) 227-7769
Mailing address
1340 WHIPPOORWILL CV, GRENADA, MS 38901-4070
(662) 227-7769
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT1188
MS
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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