Individual
ASHLEY YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
945 KENLEIGH CIR, WINSTON SALEM, NC 27106-5604
(336) 761-0506
Mailing address
945 KENLEIGH CIR, WINSTON SALEM, NC 27106-5604
(336) 761-0506
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
8361
NC
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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