Individual
NICOLE YELOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A
Contact information
Practice address
1930 HIGHLAND AVE STE A, AUGUSTA, GA 30904-7803
(706) 481-9105
Mailing address
1930 HIGHLAND AVE STE A, AUGUSTA, GA 30904-7803
(706) 481-9105
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2774
SC
225200000X
Physical Therapy Assistant
Primary
PTA002927
GA
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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