Young, Richard Allen

Young, Richard Allen is an individual health care provider with primary practice located at 4280 Minton Rd Suite 120, West Melbourne FL 32904-9564. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Young, Richard Allen can be contacted via phone (321) 984-2933.

Contact Information

Primary practice address
4280 Minton Rd Suite 120 West Melbourne FL 32904-9564
Phone: (321) 984-2933
Fax: (951) 973-7216
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 3511 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT008709 Georgia

Profile Details

NPI number 1669655775
LBN Legal business name Young, Richard Allen
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2007
Last updated May 1st, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669655775 NPPES
Florida Other PT3511 PT LICENSURE

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