LEWAYNE A YOUNG

WINTER HAVEN, FL
NPI1073725719
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA9537)
Enumeration Date2007-05-04
Last Update Date2007-07-08
Business Address
Mr. LEWAYNE A YOUNG COTA
132 ALACHUA DR
WINTER HAVEN, FL 33884-1404
Phone number: 863-412-0320
Mailing Address
Mr. LEWAYNE A YOUNG COTA
132 ALACHUA DRIVE
WINTER HAVEN, FL 34112
Phone number: 863-412-0320
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