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General NPI Number Information
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NPI Number | 1619207727
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Entity Type | Individual
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Provider Name | CORTNEY ANN YOUNG PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 01/12/2010
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 205 INDUSTRIAL CV
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City | RIDGELAND
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State | MS
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Zip | 39157-2715
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Country | US
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Telephone | 877-407-3422
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Fax | 877-407-4329
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Provider Business Mailing Address
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Address Line | 1777 W SAINT MARYS RD
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City | TUCSON
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State | AZ
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Zip | 85745-2687
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Country | US
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Telephone | 520-884-9819
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Fax | 520-884-0175
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1104376
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | LPT011206
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License Number State | AZ
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