Individual
CHLOE JACQUELINE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
324 JUNGERMANN RD, SAINT PETERS, MO 63376-5350
(636) 928-5327
Mailing address
1125 ESTATES LN, BONNE TERRE, MO 63628-9294
(314) 808-5940
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2023015298
MO
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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