Individual
CHRISTINE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1650 MEDICAL LN, FORT MYERS, FL 33907-1116
(239) 277-9818
(239) 277-9289
Mailing address
838 SW 56TH ST, CAPE CORAL, FL 33914-7223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6752
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y902L
BCBS PROVIDER NUMBER
FL
Enumeration date
11/16/2006
Last updated
07/09/2007
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