Provider Demographics
NPI:1942373915
Name:YOUNG, COURTNEY SARAH (PT, DPT, MS)
Entity Type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:SARAH
Last Name:YOUNG
Suffix:
Gender:F
Credentials:PT, DPT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8340 FINCHLEIGH ST
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20724-1974
Mailing Address - Country:US
Mailing Address - Phone:315-521-3620
Mailing Address - Fax:
Practice Address - Street 1:8965 GUILFORD RD
Practice Address - Street 2:160
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-2384
Practice Address - Country:US
Practice Address - Phone:410-796-8499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23126225100000X
DCPT870766225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist