Individual
STEPHANIE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1111 CHURCH AVE, JASPER, IN 47546-3761
(812) 634-7750
Mailing address
118 MEDICAL DR, CARMEL, IN 46032-2923
(317) 573-1037
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003259A
IN
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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