Organization
ABERDEEN PHYSICAL THERAPY AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEPHEN YOUNG PT, MPT (MANAGING PARTNER)
(910) 944-1169
Entity
Organization
Contact information
Practice address
200 N POPLAR ST, ABERDEEN, NC 28315-2812
(910) 944-1169
(910) 944-1566
Mailing address
200 N POPLAR ST, ABERDEEN, NC 28315-2812
(910) 944-1169
(910) 944-1566
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8566
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2506210
MEDICARE PTAN
NC
Enumeration date
09/21/2010
Last updated
12/17/2010
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