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Individual

REBECCA YOUNGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, ATC

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64995
OR
2255A2300X
Athletic Trainer
1325
SC

Other

Enumeration date
04/25/2014
Last updated
07/24/2023
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