Organization
YOUNG AND WELL
Active
Organization
YOUNG AND WELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER JACKSON-PENA OTR, OTD (OWNER/DIRECTOR)
(240) 535-4036
Entity
Organization
Contact information
Practice address
932 HUNGERFORD DR STE 18A, ROCKVILLE, MD 20850-1751
(240) 535-4036
Mailing address
932 HUNGERFORD DR STE 18A, ROCKVILLE, MD 20850-1751
(240) 535-4036
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
05710
MD
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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