Individual
CATHERINE L YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
1045 WHIPPLE ST, PRESCOTT, AZ 86305-1662
(928) 777-9897
(928) 717-0019
Mailing address
PO BOX 11075, PRESCOTT, AZ 86304-1075
(928) 777-9897
(928) 717-0019
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3511
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
956518
—
AZ
Enumeration date
12/11/2006
Last updated
05/01/2019
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