NPI | 1285858993 |
---|---|
Former Name | PATRICIA A YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2002023141) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.007541) |
225100000X Physical Therapist (Licence: NC 5074) | |
Enumeration Date | 2007-04-12 |
Last Update Date | 2007-07-08 |