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Individual

MRS. ERICA LYNN YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1980 OLD GREENSBURG RD, CAMPBELLSVILLE, KY 42718-2536
(270) 465-3506
(270) 789-4010
Mailing address
626 SHAWNEE DR, CAMPBELLSVILLE, KY 42718-1644
(270) 789-6545

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3814
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1457424160
KY
Enumeration date
07/03/2007
Last updated
07/08/2007
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