Individual
MS. MAURITA CALESE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
925 S SEMORAN BLVD STE 108, WINTER PARK, FL 32792-5313
(888) 830-1057
(866) 364-7259
Mailing address
8542 S PAULINA ST, CHICAGO, IL 60620-4778
(773) 562-4525
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004389
IL
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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