Individual
JAN MARI YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6601 LYNDALE AVE S, 105, RICHFIELD, MN 55423-2477
(612) 798-8860
(612) 798-8861
Mailing address
7821 W 100TH ST, BLOOMINGTON, MN 55438-2074
(952) 829-7242
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A51
MN
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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