Individual
MARIANNE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
73 CHESTNUT ST, EMERSON, NJ 07630-1145
(201) 417-1892
Mailing address
73 CHESTNUT ST, EMERSON, NJ 07630-1145
(201) 417-1892
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008266
NY
224Z00000X
Occupational Therapy Assistant
46TA09091500
NJ
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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