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Individual
TERRY MOYER YOUNG
Active
Individual
TERRY MOYER YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2409
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078CW
BLUE CROSS BLUE SHIELD NC
NC
01
—
B3032
MED COST
NC
01
—
FH80000010
FIRST CAROLINA CARE
NC
Enumeration date
06/12/2006
Last updated
12/30/2010
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