Individual
KATHERINE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
243 WOODROW WILSON LANE, FSIHERSVILLE, VA 22939
(540) 332-7087
(540) 332-7006
Mailing address
PO BOX 1500, FISHERSVILLE, VA 22939-1500
(540) 332-7087
(540) 332-7006
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005200
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457458804
ANTHEM
VA
05
—
1629049143
—
VA
Enumeration date
10/27/2010
Last updated
10/27/2010
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