Provider Demographics
NPI:1548743420
Name:AITKEN YOUNG, BRYN D (DPT)
Entity Type:Individual
Prefix:
First Name:BRYN
Middle Name:D
Last Name:AITKEN YOUNG
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15250 VENTURA BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-3214
Mailing Address - Country:US
Mailing Address - Phone:818-990-0267
Mailing Address - Fax:
Practice Address - Street 1:15250 VENTURA BLVD STE 300
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-3214
Practice Address - Country:US
Practice Address - Phone:818-990-0267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-07
Last Update Date:2023-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist