Individual
JENNIFER READ YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
9907 GRAND OAK DR, AUSTIN, TX 78750-3819
(512) 331-1999
(512) 331-9199
Mailing address
9907 GRAND OAK DR, AUSTIN, TX 78750-3819
(512) 331-1999
(512) 331-9199
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1113645
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
659667
BCBS PROVIDER NUMBER
TX
Enumeration date
09/25/2006
Last updated
07/08/2007
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