Individual
LESLIE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
15 BORDEAUX ST, STARKVILLE, MS 39759-1042
(662) 315-0955
Mailing address
15 BORDEAUX ST, STARKVILLE, MS 39759-1042
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4530
MS
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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