Individual
MAKAYLA BROOKE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
387 HELIPORT LOOP, BRIDGEPORT, WV 26330-8604
(304) 842-0044
Mailing address
PO BOX 1276, BRIDGEPORT, WV 26330-6276
(304) 842-0044
(304) 842-0033
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2112
WV
Other
Enumeration date
09/07/2018
Last updated
07/05/2021
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