Individual
STEPHANIE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4810 S 177TH ST, OMAHA, NE 68135-3410
(612) 437-9822
Mailing address
4810 S 177TH ST, OMAHA, NE 68135-3410
(612) 437-9822
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
089919
IA
225X00000X
Occupational Therapist
Primary
2141
NE
Other
Enumeration date
11/15/2018
Last updated
08/01/2023
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