Provider Demographics
NPI:1245803303
Name:YOUNG, JULIA DUNCAN (PT , MS)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:DUNCAN
Last Name:YOUNG
Suffix:
Gender:F
Credentials:PT , MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 LOSANA CT
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-4031
Mailing Address - Country:US
Mailing Address - Phone:817-239-8035
Mailing Address - Fax:
Practice Address - Street 1:12 LOSANA CT
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-4031
Practice Address - Country:US
Practice Address - Phone:817-239-8035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1146346225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist