Individual
CHERYL ANN YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5106 OLD COURT RD, RANDALLSTOWN, MD 21133-4702
(410) 521-6641
Mailing address
5106 OLD COURT RD, RANDALLSTOWN, MD 21133-4702
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2039
MD
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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