Individual
LESLIE DIONNE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
808 MILL LAKE ROAD, FORT WAYNE, IN 46845
(260) 338-1241
(260) 338-1231
Mailing address
808 MILL LAKE RD, FORT WAYNE, IN 46845-6400
(260) 338-1241
(260) 338-1231
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT31001365A
IN
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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