Individual
JEANA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(800) 243-4556
Mailing address
78 WALNUT ST, GARDEN CITY, MO 64747-8742
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
14-02808
KS
225200000X
Physical Therapy Assistant
Primary
2014041469
MO
Other
Enumeration date
02/14/2015
Last updated
02/14/2015
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