Individual
MARY KATE ELIZABETH YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1305 W WENDOVER AVE, GREENSBORO, NC 27408-8124
(336) 279-9008
Mailing address
4410 BRANDT RIDGE DR, GREENSBORO, NC 27410-9552
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12059
NC
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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