Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 13590 | CO |
NPI | 1003324450 |
---|---|
Provider Name | Lindsey Youngelson |
First Address | Wilsonville, OR 97070-9697 |
Second Address | Denver, CO 80206-1614 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2018 |
Last Update Date | 19/01/2018 |