Youngblood, Larry David

Youngblood, Larry David is an individual health care provider with primary practice located at 3051 Watson Blvd Ste 525 , Warner Robins GA 31093-8556. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Youngblood, Larry David can be contacted via phone (478) 953-4563.

Contact Information

Primary practice address
3051 Watson Blvd Ste 525 Warner Robins GA 31093-8556
Phone: (478) 953-4563
Fax: (478) 953-4563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT016469 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT003284 Georgia

Profile Details

NPI number 1306365895
LBN Legal business name Youngblood, Larry David
Credentials PT, DPT, ATC, LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2017
Last updated Mar 2nd, 2023 - about 2 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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