Deborah Lee Youngblood
Physical Therapy Assistant
24463 W 10 Mile Rd
Southfield
, Michigan 48033-2931
Deborah Lee Youngblood
Physical Therapy Assistant
24463 W 10 Mile Rd
Southfield
, Michigan 48033-2931
(248) 556-9103
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Deborah Lee Youngblood
- 21700 Northwestern Hwy Ste 900
- Southfield, MI
- Zip : 48075-4906
- Fax : (248) 556-9103
- Phone : (248) 556-9156
Second Address
- Deborah Lee Youngblood
- 24463 W 10 Mile Rd
- Southfield, MI
- Zip : 48033-2931
- Fax : (248) 556-9103
- Phone : (586) 556-9156
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 5502001162 | MI |
National Provider Identifier
| NPI | 1013586098 |
|---|---|
| Provider Name | Deborah Lee Youngblood |
| First Address | Southfield, MI 48075-4906 |
| Second Address | Southfield, MI 48033-2931 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2021 |
| Last Update Date | 23/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.