Individual
KATRINA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
9680 W NORTHERN AVE, APT 1335, PEORIA, AZ 85345-4639
(919) 244-5972
Mailing address
9680 W NORTHERN AVE, APT 1335, PEORIA, AZ 85345-4639
(919) 244-5972
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4622
AZ
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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