Individual provider · NPI-1

Yibeltal Getachew Arega, PT, DPT

Physical Therapist · Lawrenceville, GA

NPI number1720406184
StatusActive
Last updated in NPPESMay 12, 2017

Details

NPI
1720406184
Entity type
Individual (NPI-1)
Name
Yibeltal Getachew Arega
Credential
PT, DPT
Sex
Male
Sole proprietor
No
Enumeration date
Apr 2, 2014
Last updated
May 12, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT011415GAYes

Practice location

455 Philip Blvd Bldg 100-160
Lawrenceville, GA 30046-8767

Phone 678-985-0238 · Fax 678-985-0136

Mailing address

8823 Production Ln
Ooltewah, TN 37363-6511

Phone 423-238-7217 · Fax 423-362-8684

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