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Individual

IAN AVERY YOUNG

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
P.T., M.S.,OCS,SCS

Contact information

Practice address
3310 FALL HILL AVE, FREDERICKSBURG, VA 22401-3000
(540) 373-7133
(540) 373-0068
Mailing address
5 RIVER BLUFFS DR, FREDERICKSBURG, VA 22407-2311
(540) 373-7133
(540) 373-0068

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
2305006515
VA

Other

Enumeration date
05/04/2006
Last updated
07/08/2007
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