Individual
SHANNON LYNN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
617 N MICHAEL ST, SAINT MARYS, PA 15857-1153
(814) 335-2746
Mailing address
617 N MICHAEL ST, SAINT MARYS, PA 15857-1153
(814) 335-2746
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP005703
PA
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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