Individual
SUSAN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 7TH CT, VERO BEACH, FL 32960-5706
(772) 584-3888
Mailing address
4030 LUCIANO AVE, COCOA, FL 32926-6814
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 15133
FL
Other
Enumeration date
04/23/2016
Last updated
04/23/2016
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