Provider Demographics
NPI:1558431270
Name:ABERNATHY, YOLANDA RAMIREZ (PT)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:RAMIREZ
Last Name:ABERNATHY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5215 TEAL LN
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-0699
Mailing Address - Country:US
Mailing Address - Phone:706-414-0991
Mailing Address - Fax:
Practice Address - Street 1:3604 VERANDAH DR STE AANDB
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-5608
Practice Address - Country:US
Practice Address - Phone:706-414-0991
Practice Address - Fax:762-320-5338
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2023-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT008528225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist