Individual
LADONNA BREQUIA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 COUNTY ROAD 147, OXFORD, MS 38655-8636
(662) 715-0121
Mailing address
16 COUNTY ROAD 147, OXFORD, MS 38655-8636
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3642
MS
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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