Individual
MONTGOMERY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1840 WEALTHY ST SE, GRAND RAPIDS, MI 49506-2921
(248) 881-4705
Mailing address
3332 OAK ST, HUDSONVILLE, MI 49426-1136
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010584
MI
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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