Individual
JAYCIE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4700 HIGHWAY 365 STE J, PORT ARTHUR, TX 77642-7719
(409) 344-9089
(409) 344-9390
Mailing address
4700 HIGHWAY 365 STE J, PORT ARTHUR, TX 77642-7719
(409) 344-9089
(409) 344-9390
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
122129
TX
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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