Individual
MRS. SALLY ANN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.C.-L
Contact information
Practice address
3946 ICE WAY, FORT WAYNE, IN 46805-1018
(260) 266-4007
Mailing address
3946 ICE WAY, FORT WAYNE, IN 46805-1018
(260) 266-4007
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
36000029A
IN
Other
Enumeration date
02/20/2006
Last updated
07/21/2026
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