Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | MD |
NPI | 1518283829 |
---|---|
Provider Name | Celestia Young |
First Address | Baltimore, MD 21228-5138 |
Second Address | Baltimore, MD 21228-6138 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2010 |
Last Update Date | 31/12/2015 |