Individual
KRISTIN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12261 US 49 #14, GULFPORT, MS 39503
(228) 539-3636
Mailing address
614 SARAZEN DR, GULFPORT, MS 39507-2225
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4952
MS
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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