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Individual

MS. PATRICIA JULIE YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, D.P.T.

Contact information

Practice address
218 BIRNAM RD, NORTHFIELD, MA 01360-9526
(413) 387-0722
Mailing address
218 BIRNAM RD, NORTHFIELD, MA 01360-9526
(413) 387-0722

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
007771
CT
261QP2000X
Physical Therapy Clinic/Center
007771
CT
261QP2000X
Physical Therapy Clinic/Center
Primary
17287
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4030166
CIGNA PROVIDER ID
CT
Enumeration date
02/10/2006
Last updated
05/04/2020
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