Provider Demographics
NPI:1720331937
Name:YOUNG, ASHLEY NOEL (PT)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:NOEL
Last Name:YOUNG
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:20310 SENECA MEADOWS PKWY
Mailing Address - Street 2:STE B
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-7004
Mailing Address - Country:US
Mailing Address - Phone:301-798-4838
Mailing Address - Fax:301-662-8762
Practice Address - Street 1:3909 NATIONAL DR STE 100
Practice Address - Street 2:
Practice Address - City:BURTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20866-1192
Practice Address - Country:US
Practice Address - Phone:301-421-1125
Practice Address - Fax:301-421-1077
Is Sole Proprietor?:No
Enumeration Date:2012-10-25
Last Update Date:2021-03-26
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Provider Licenses
StateLicense IDTaxonomies
MD24252225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist