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Individual
JOYCE E YOUNGBRANDT
Active
Individual
JOYCE E YOUNGBRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-005818
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1635388
BLUE CROSS
IL
Enumeration date
10/02/2007
Last updated
11/22/2024
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