Individual
AMANDA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 N MARTIN JISCHKE DR, WEST LAFAYETTE, IN 47907-2030
(765) 494-0109
Mailing address
8815 ARBORWAY CT, APT 114, INDIANAPOLIS, IN 46268-4907
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011553A
IN
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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