Individual provider · Type 1 NPI

Mario Androlis Young, C.O.T.A.

Occupational Therapy Assistant · Lebanon, IN

NPI number 1104080399 Active

Practice location

1001 N Grant St
Lebanon, IN 46052-1944

Call (765) 482-6400 Map

Mailing address

4322 Winthrop Ave
Indianapolis, IN 46205-1972

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X32000023A (IN)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1104080399

Mario Androlis Young, C.O.T.A.'s National Provider Identifier is 1104080399, issued on Jul 16, 2008. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Lebanon, IN. The record was last updated on Jul 16, 2008.