Young, Sue Laurie

Young, Sue Laurie is an individual health care provider with primary practice located at 1401 Churchill St , Waupaca WI 54981-2027. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Young, Sue Laurie can be contacted via phone (715) 258-8131.

Contact Information

Primary practice address
1401 Churchill St Waupaca WI 54981-2027
Phone: (715) 258-8131
Fax: (715) 258-0179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2263-026 Wisconsin

Profile Details

NPI number 1477766632
LBN Legal business name Young, Sue Laurie
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477766632 NPPES
Wisconsin MEDICAID 40821600

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