| NPI | 1679579866 |
|---|---|
| Former Name | HOLLY JANE YATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35702) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT005870) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2020-08-21 |