Deborah K Young PTA

NPI 1144538273 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1144538273
Gender Female
Enumeration Date 09/23/2010
Last Updated 09/23/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
200 S 9TH ST
DE PERE WI, 54115-1393, US
Phone (920) 338-4146
Fax
Business Location
200 S 9TH ST
DE PERE WI, 54115-1393, US
Phone (920) 338-4146
Fax
Toxanomy
Taxonomy Code 225200000X
License State Wisconsin
License Number 17-19
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According to our database, Deborah K Young PTA NPI is 1144538273, taxonomy code is 225200000X and license number is 17-19, license state is located at Wisconsin. Deborah K Young PTA physically located at 200 S 9th St, De Pere WI, 54115-1393. NPI Number Deborah K Young PTA has the Individual type.

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1144538273 NPI number is provided on an as is basis without warranty of any kind. 1144538273 is maintained by the National Plan & Provider Enumeration System. The contents of Deborah K Young PTA are for informational purposes only.