Individual
KAYLI YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1897 NE 146TH ST, NORTH MIAMI, FL 33181-1423
(305) 949-4191
Mailing address
1897 NE 146TH ST, NORTH MIAMI, FL 33181-1423
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
017450
NY
225X00000X
Occupational Therapist
Primary
OT 15352
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017450
OCCUPATIONAL THERAPY LICENSE
NY
01
—
294309
NATIONAL BOARD FOR CERTIFICATION OF OCCUPATIONAL THERAPY (NBCOT) CERTIFIED
—
01
—
OT 15352
OCCUPATIONAL THERAPY LICENSE
FL
Enumeration date
09/19/2012
Last updated
09/19/2012
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