Individual
ANITRA DUPUCH YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4502 MILWAUKEE ST, MADISON, WI 53714-2133
(608) 249-2137
Mailing address
5106 CRESCENT OAKS DR, MADISON, WI 53704-8935
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4285 - 26
WI
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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