Individual
KIM D YEROVSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1230 JOHNSON FERRY PL, I-20, MARIETTA, GA 30068-2048
(770) 321-6705
(770) 321-6705
Mailing address
5167 WEATHERWOOD TRCE, MARIETTA, GA 30068-1748
(404) 202-5038
(770) 650-0068
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005251
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00086130B
—
GA
Enumeration date
03/02/2007
Last updated
07/09/2007
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