Individual
JEANETTE MARY YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
3731 6TH AVE, SUITE 103, SAN DIEGO, CA 92103-4383
(619) 291-3515
(619) 261-3529
Mailing address
3731 6TH AVE, SUITE 103, SAN DIEGO, CA 92103-4383
(619) 291-3515
(619) 261-3529
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11396
CA
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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