Individual
MRS. BEVERLY ANN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1120 FALCON DR, KENNETT, MO 63857-3825
(573) 888-1150
Mailing address
211 S 1ST ST, HAYTI, MO 63851-1603
(573) 359-2484
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
119718
MO
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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