Individual
BRIANNA YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
590 NORTH POPLAR FORK ROAD, TEAYS VALLEY, WV 25526
(304) 757-2026
Mailing address
324 TOWNSHIP ROAD 1110, PROCTORVILLE, OH 45669-8438
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002149
WV
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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