Individual
MRS. DIANE MARIA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
16 FUSTING AVE, CATONSVILLE, MD 21228-4413
(410) 787-1600
Mailing address
6336 WOODCHASE CT, ELLICOTT CITY, MD 21043-7949
(443) 858-2353
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
02775
MD
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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