Individual
MARTIN S YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.T.
Contact information
Practice address
241 OCKLEY DR, SHREVEPORT, LA 71105-3024
(318) 617-4194
Mailing address
241 OCKLEY DR, SHREVEPORT, LA 71105-3024
(318) 617-4194
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1040277
TX
225100000X
Physical Therapist
Primary
PT-381
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093213-01
—
TX
Enumeration date
07/13/2005
Last updated
11/12/2019
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