Individual
SALLY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
507 S MAIN ST, VIROQUA, WI 54665-2059
(608) 637-2101
Mailing address
507 S MAIN ST, VIROQUA, WI 54665-2059
(608) 637-2101
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2164-19
WI
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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