Individual
JOYCE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
64 DANBURY RD, WILTON, CT 06897-4429
(800) 278-0332
Mailing address
1224 S HIGH ST APT 117, LONGVIEW, TX 75602-2550
(817) 714-0952
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007751
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007751
NEW YORK BOARD OF OCCUPATIONAL THERAPY
NY
Enumeration date
08/07/2012
Last updated
08/07/2012
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