Provider Demographics
NPI:1578612206
Name:YOUNG, JAMES G (MPT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:G
Last Name:YOUNG
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
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Mailing Address - Street 1:2284 BROADHEAD ROAD
Mailing Address - Street 2:
Mailing Address - City:ALIQUIPPA
Mailing Address - State:PA
Mailing Address - Zip Code:15001-4685
Mailing Address - Country:US
Mailing Address - Phone:412-266-1482
Mailing Address - Fax:724-743-5966
Practice Address - Street 1:2284 BROADHEAD ROAD
Practice Address - Street 2:
Practice Address - City:ALIQUIPPA
Practice Address - State:PA
Practice Address - Zip Code:15001-4685
Practice Address - Country:US
Practice Address - Phone:412-266-1482
Practice Address - Fax:724-743-5966
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPT010361L225100000X, 2251S0007X
PAPT-010361-L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports