Individual
ALICIA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
109 FEATHERBONE AVE, THREE OAKS, MI 49128-1171
(219) 878-5667
(219) 477-4572
Mailing address
109 FEATHERBONE AVE, THREE OAKS, MI 49128-1171
(219) 878-5667
(219) 477-4572
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06000802A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200660000
—
IN
Enumeration date
05/04/2007
Last updated
11/21/2019
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