Individual
JULIE LITTLE-YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
260 N ORANGE ST, PORT JERVIS, NY 12771-1129
(845) 858-4615
Mailing address
260 N ORANGE ST, PORT JERVIS, NY 12771-1129
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009420-1
NY
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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