Individual
CAROLYN M YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1101 SPRUCE ST, ELLIS, KS 67637-1757
(615) 896-6400
Mailing address
1706 SPRUCE ST, ELLIS, KS 67637-1855
(615) 896-6400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1700492
KS
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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