Organization
FOREVER YOUNG MOBILE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI BARNES YOUNG PT (OWNER)
(910) 239-7834
Entity
Organization
Contact information
Practice address
2268 LITTLE RIVER NECK RD, NORTH MYRTLE BEACH, SC 29582-6265
(910) 239-7834
Mailing address
1109 JAMES ISLAND AVE, NORTH MYRTLE BEACH, SC 29582-6979
(910) 239-7834
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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