Individual
MRS. LISA N YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2994
NH
2255A2300X
Athletic Trainer
0036
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08Y007675NH03
ANTHEM BCBS
NH
05
—
30394477
—
NH
01
—
6007380
MVP
NH
01
—
AA65774
HARVARD PILGRIM
NH
01
—
P00339333
RAILROAD MEDICARE
NH
Enumeration date
07/13/2006
Last updated
11/29/2007
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