Individual
LORI YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2700 MC CLELLAND BLVD, JOPLIN, MO 64804-1623
(417) 781-2727
Mailing address
3402 SUNSET DR S, JOPLIN, MO 64804-1397
(417) 529-0688
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
103408
MO
Other
Enumeration date
08/13/2009
Last updated
08/13/2009
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