Most Relevant Information
Provider Data
| NPI Number: | 1003076118 |
| Provider Name: | JONATHAN KEITH YOUNG DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT019300 |
Most Important Dates
| Enumeration Date: | 06/11/2008 |
| Last Updated: | 08/21/2008 |
Provider Practice Location
1290 BOYCE RD
PITTSBURGH
PA
152413921
Practice Location Phone/Fax
| Phone: | 7249413100 |
| Fax: | 7249411575 |
Provider Mailing Location
5500 BROOKTREE RD
SUITE 102
WEXFORD
PA
150909260
Provider Mailing Phone/Fax
| Phone: | 7249413100 |
| Fax: | 7249411575 |