Individual
BRITTANY NICOLE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
118 E MAIN ST, PORT JERVIS, NY 12771-2160
(845) 858-3100
Mailing address
3 BUCK HOLLOW RD, SPARROW BUSH, NY 12780-5041
(845) 649-2012
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0009871
NY
Other
Enumeration date
12/03/2019
Last updated
06/26/2024
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