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Organization
FOREVER YOUNG MOBILE PHYSICAL THERAPY LLC
Active
Organization
FOREVER YOUNG MOBILE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI BARNES YOUNG PT (OWNER)
(910) 239-7834
Entity
Organization
Contact information
Practice address
2268 LITTLE RIVER NECK RD, NORTH MYRTLE BEACH, SC 29582-6265
(910) 239-7834
Mailing address
1109 JAMES ISLAND AVE, NORTH MYRTLE BEACH, SC 29582-6979
(910) 239-7834
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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