Individual
MR. RANDY YOUNG JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
40 ROSEMONT DR, APT. F, GRENADA, MS 38901-4065
(601) 415-2844
Mailing address
40 ROSEMONT DR, APT. F, GRENADA, MS 38901-4065
(601) 415-2844
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5620
MS
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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