Individual
MRS. RUTH IRENE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2027 S. 79TH STREET, WEST ALLIS, WI 53219
(414) 329-1968
Mailing address
2027 S. 79TH STREET, WEST ALLIS, WI 53219
(414) 329-1968
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/09/2009
Last updated
11/16/2010
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