Individual
SYDNEY M YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT,LOTR
Contact information
Practice address
1407 E 70TH ST, SHREVEPORT, LA 71105-4925
(318) 798-1505
Mailing address
4627 ORCHID ST, SHREVEPORT, LA 71105-3133
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTT.200595
LA
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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