Individual
SUSAN YOSHIMIZU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
149 LOYAL DR, DAHLONEGA, GA 30533-5205
(951) 970-9734
Mailing address
149 LOYAL DR, DAHLONEGA, GA 30533-5205
(951) 970-9734
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT012577
GA
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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