Individual
MRS. MARY NELL YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3960 NEW COVINGTON PIKE, MEMPHIS, TN 38128-2504
(901) 516-5320
(901) 516-5099
Mailing address
10778 E RIDGE DR, OLIVE BRANCH, MS 38654-4359
(901) 491-4934
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
02193
TN
Other
Enumeration date
04/11/2019
Last updated
04/30/2020
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