Individual
MRS. RAELENE LYNN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2121 ROCKWELL DR, MIDLAND, MI 48642-9316
(989) 633-5372
Mailing address
3345 CRAMER RD, BAY CITY, MI 48706-1217
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001644
MI
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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