Individual
MR. TIM JOE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8520 S 36TH TER, FORT SMITH, AR 72908-8880
(479) 410-1740
Mailing address
34676 COOPER RD, POTEAU, OK 74953-9001
(918) 413-1295
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
OKPTA763
OK
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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