Organization
YOUNG THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACIE YOUNG MHS, OTR/L (OWNER)
(217) 621-4441
Entity
Organization
Contact information
Practice address
302 DROPSEED DR, SAVOY, IL 61874-8521
(217) 621-4441
(866) 401-1462
Mailing address
302 DROPSEED DR, SAVOY, IL 61874-8521
(217) 621-4441
(866) 401-1462
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056005118
IL
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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