Individual
EMILY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1708 CHERRY ST, VICKSBURG, MS 39180-3564
(601) 638-3632
Mailing address
201 N CASTLE DR, MADISON, MS 39110-9446
(601) 668-2990
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-7602
MS
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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