Individual
CLINT YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
421 E VAN TREES ST, WASHINGTON, IN 47501-2948
(812) 254-2673
Mailing address
1314 E WALNUT ST, WASHINGTON, IN 47501-2860
(812) 254-2673
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008575A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05008575A
INDIANA
IN
Enumeration date
01/15/2019
Last updated
01/15/2019
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