Individual
JOANNA M YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9025 COLORADO AVE, RIVERSIDE, CA 92503-2167
(951) 688-3636
Mailing address
16245 HUNTER ST, FONTANA, CA 92335-7816
(909) 561-6124
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
47953
CA
Other
Enumeration date
11/03/2019
Last updated
11/03/2019
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