Individual
JASMINE CIERA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1392 WILLOW WIND DR, CLERMONT, FL 34711
(561) 574-2080
Mailing address
1392 WILLOW WIND DR, CLERMONT, FL 34711-1910
(561) 574-2080
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15944
FL
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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