Individual
LONDON YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11100- 11189 BERKLEY SQUARE LN, CHARLOTTE, NC 28105
(650) 269-9556
Mailing address
1118 BERKLEY SQ. LANE, CHARLOTTE, NC 28105
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA10646
CA
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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