Individual
BRENNA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1275 LOST TREE DR APT 3, BRANSON, MO 65616-8498
(417) 337-2219
Mailing address
1275 LOST TREE DR APT 3, BRANSON, MO 65616-8498
(417) 337-2219
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A1794
AR
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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