Individual
MS. CHARLENE FRANCES YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
315 S 21ST AVE, HOLLYWOOD, FL 33020-5011
(614) 440-1706
Mailing address
817 HARRISON ST, HOLLYWOOD, FL 33019-1620
(614) 440-1706
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA28394
FL
Other
Enumeration date
11/16/2011
Last updated
03/12/2012
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