Individual
MR. LEWAYNE A YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
132 ALACHUA DR, WINTER HAVEN, FL 33884-1404
(863) 412-0320
Mailing address
132 ALACHUA DRIVE, WINTER HAVEN, FL 34112
(863) 412-0320
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA9537
FL
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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