Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 11-05713 | KS |
NPI | 1033657457 |
---|---|
Provider Name | Hilary M Young |
First Address | Overland Park, KS 66214-2664 |
Second Address | Birmingham, AL 35209-4168 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2017 |
Last Update Date | 17/09/2017 |