Individual
ALICE M YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10251 N 35TH AVE, PHOENIX, AZ 85051-1305
(602) 995-7366
Mailing address
1604 E HERMOSA DR, TEMPE, AZ 85282-5723
(480) 491-7562
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2236
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
445818
—
AZ
Enumeration date
11/01/2006
Last updated
12/16/2016
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