Individual
JOHN RUSSELL YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1220 N SHORE PKWY, SUITE B, BRANDON, MS 39047-6383
(601) 829-0505
(601) 829-0506
Mailing address
1220 N SHORE PKWY, SUITE B, BRANDON, MS 39047-6383
(601) 829-0505
(601) 829-0506
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4732
MS
Other
Enumeration date
03/08/2011
Last updated
09/22/2015
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