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Individual

CHRISTINE LEE YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
871 OLD ALICE RD, SUITE 600, BROWNSVILLE, TX 78550
(956) 541-2102
(956) 541-2502
Mailing address
871 OLD ALICE RD, SUITE 600, BROWNSVILLE, TX 78550
(956) 541-2102
(956) 541-2502

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209327
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209327
STATE LICENSE
TX
Enumeration date
05/03/2007
Last updated
07/08/2007
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