Individual
AMY CROCETTI YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, LMT
Contact information
Practice address
1561 BRADFORD RD STE 202, VIRGINIA BEACH, VA 23455-4091
(757) 447-7411
Mailing address
4805 LAKE BRADFORD LN, VIRGINIA BEACH, VA 23455-1909
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2306601808
VA
225700000X
Massage Therapist
Primary
0019009348
VA
Other
Enumeration date
04/20/2007
Last updated
02/07/2022
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