Individual
SAMANTHA JANE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15590 90TH ST NE, OTSEGO, MN 55330-9452
(763) 755-4275
(763) 755-4261
Mailing address
1723 N 66TH ST, SUPERIOR, WI 54880-6043
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6062
MN
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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