Individual
TERESA L YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
8700 E 29TH ST N, WICHITA, KS 67226-2169
(316) 634-8710
(316) 634-8891
Mailing address
8700 E 29TH ST N, WICHITA, KS 67226-2169
(316) 634-8710
(316) 634-8891
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-01808
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201262360A
—
KS
Enumeration date
04/08/2008
Last updated
01/27/2020
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