Individual
CASEY YOUNTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5901 BROKEN SOUND PKWY, SUITE 450, BOCA RATON, FL 33487-2773
(800) 875-8999
Mailing address
6933 CHARNEL LN, CLIMAX, NC 27233-9167
(336) 944-4999
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
09463
OR
225200000X
Physical Therapy Assistant
Primary
A5280
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000004319000
FIRSTCAROLINACARE
NC
Enumeration date
04/21/2017
Last updated
04/21/2017
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