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Organization
MELISSA YOUNG AND ASSOCIATES
Active
Organization
MELISSA YOUNG AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA YOUNG (SOLE OWNER)
(407) 341-0428
Entity
Organization
Contact information
Practice address
102 POPLAR PL, LONGWOOD, FL 32750-2731
(407) 341-0428
Mailing address
102 POPLAR PL, LONGWOOD, FL 32750-2731
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 10975
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
888934100
—
FL
Enumeration date
09/14/2011
Last updated
09/14/2011
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