Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OTOOO1330 | FL |
NPI | 1205854098 |
---|---|
Provider Name | Mrs. Ylisa C Young |
First Address | Lake Worth, FL 33467-6586 |
Second Address | Royal Palm Beach, FL 33411-8735 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 17/03/2018 |