Individual
BENJAMIN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 COUNTRYSIDE DR, OSSIAN, IN 46777-9116
(260) 431-6225
Mailing address
415 COUNTRYSIDE DR, OSSIAN, IN 46777-9116
(260) 431-6225
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001974A
IN
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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