Individual
MR. JIA YU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1074 NW 13TH ST, APT 171C, BOCA RATON, FL 33486-2284
(954) 821-0931
Mailing address
1074 NW 13TH ST APT 171C, BOCA RATON, FL 33486-2238
(954) 821-0931
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT14713
FL
225XG0600X
Gerontology Occupational Therapist
Primary
OT14713
FL
Other
Enumeration date
10/12/2012
Last updated
12/10/2018
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