IndividualActive
Amanda Younggreen, COTA
NPI 1124392360 · Occupational Therapy Assistant · Southern Pines, NC
Provider details
- NPI number
- 1124392360
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 7868 (NC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
103 Gossman Drive
Southern Pines, NC 28387
Phone: (910) 692-7293
Fax: (910) 692-7293
Approximate (ZIP-level) locationGet directions
Mailing address
95 Community Rd
Pinehurst, NC 28374
Registry dates
- Enumerated
- 2012-03-06
- Last updated
- 2012-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.