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NPI Code Detail

MEDICARE: RICHARD STEPHEN YOUNG PT

MEDICARE: RICHARD STEPHEN YOUNG PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistP8566NC

General Provider Information

NPI Number : 1972774115
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD STEPHEN YOUNG PT
Provider Business Mailing Address
First Line : 200 N POPLAR ST
Second Line :
City : ABERDEEN
State : NC
Zip : 28315-2812
Country : US
Telephone Number : 910-944-1169
Fax Number : 910-944-1566
Provider Business Practice Location Address
First Line : 200 N POPLAR ST
Second Line :
City : ABERDEEN
State : NC
Zip : 28315-2812
Country : US
Telephone Number : 910-944-1169
Fax Number : 910-944-1566
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2008
Last Update Date : 04/08/2026

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