Individual
BRANDI ELAINE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4438 PAMPLICO HWY, FLORENCE, SC 29505-8502
(843) 669-3502
Mailing address
106 MCDUFFIE CT, SUMMERVILLE, SC 29486-1727
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3479
SC
Other
Enumeration date
01/01/2019
Last updated
01/01/2019
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