Individual
STEFAN B YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4825 MACCORKLE AVE SW SUITE F, SOUTH CHARLESTON WV 2530, SOUTH CHARLESTON, WV 25309
(304) 346-9667
Mailing address
4825 MACCORKLE AVE SW SUITE F, SOUTH CHARLESTON WV 2530, SOUTH CHARLESTON, WV 25309
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002219
WV
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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