Individual
BRIAN M. YLISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
911 E 70TH ST, SAVANNAH, GA 31405-4814
(912) 355-0123
(912) 355-3856
Mailing address
911 E 70TH ST, SAVANNAH, GA 31405-4814
(912) 355-0123
(912) 355-3856
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT009824
GA
Other
Enumeration date
12/03/2009
Last updated
12/03/2009
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