Individual
MARIO ANDROLIS YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O.T.A.
Contact information
Practice address
1001 N GRANT ST, LEBANON, IN 46052-1944
(765) 482-6400
Mailing address
4322 WINTHROP AVE, INDIANAPOLIS, IN 46205-1972
(317) 283-7742
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000023A
IN
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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