Individual
ANDREA LEIGH YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1420 TUSCULUM BLVD, GREENEVILLE, TN 37745-4279
(423) 787-5063
Mailing address
1616 SEMINOLE DR, APT. 211, JOHNSON CITY, TN 37604-7052
(423) 677-7024
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
096
TN
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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