Provider Demographics
NPI:1386697738
Name:YOUNG, ERIN K (PT, DPT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:K
Last Name:YOUNG
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 SAN MARCO DR
Mailing Address - Street 2:
Mailing Address - City:TYBEE ISLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31328-9706
Mailing Address - Country:US
Mailing Address - Phone:912-656-1233
Mailing Address - Fax:
Practice Address - Street 1:200 BLUE FIN CIR STE 7
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31410-2468
Practice Address - Country:US
Practice Address - Phone:912-666-1124
Practice Address - Fax:912-666-1124
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT009533225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty