Individual
JONATHON YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2333 MANOR DR, BRYAN, TX 77802-1907
(979) 821-7330
Mailing address
2333 MANOR DR, BRYAN, TX 77802-1907
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2130982
TX
Other
Enumeration date
05/24/2017
Last updated
06/06/2019
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