Individual
FAYE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1207 RIVER DR, APT 8, MELBOURNE, FL 32901-7358
(754) 610-5305
Mailing address
1207 RIVER DR, APT 8, MELBOURNE, FL 32901-7358
(754) 610-5305
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14898
FL
Other
Enumeration date
11/22/2015
Last updated
11/22/2015
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