Individual
MRS. DANIELLE YOUNGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTRL
Contact information
Practice address
5655 CLARKSTON RD, CLARKSTON, MI 48348-3714
(810) 618-1634
Mailing address
5365 APPLE HILL CT, FLUSHING, MI 48433-2401
(810) 618-1634
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010070
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265426704
—
MI
Enumeration date
12/15/2017
Last updated
03/23/2023
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