Whalio Doctors

NPI 1073725719

Lewayne a Young, COTA

Practitioner Occupational Therapy Assistant Winter Haven, FL

Practice location

Address
132 Alachua Dr, Winter Haven, FL 33884-1404
Phone
(863) 412-0320
Mailing address
132 Alachua Drive, Winter Haven, FL 34112

Registered specialties

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA9537 (FL)

Registry record

NPI
1073725719
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 May 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.