Individual
CANDINCE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
14673 MIDWAY RD STE 1-111, ADDISON, TX 75001-3171
(972) 851-1022
Mailing address
8301 TALLAHASSEE LN, FORT WORTH, TX 76123-1513
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2526268555
—
TX
Enumeration date
11/28/2022
Last updated
11/28/2022
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