Individual
TREVOR YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2905 W SYCAMORE ST, KOKOMO, IN 46901-4078
(765) 419-1022
Mailing address
6292 E 200 S, GREENTOWN, IN 46936-9123
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004583A
IN
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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