Individual
SHAWNA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
28625 170TH ST, STOCKPORT, IA 52651-8054
(319) 796-4490
Mailing address
28625 170TH ST, STOCKPORT, IA 52651-8054
(319) 796-4490
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00969
IA
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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