NPI 1023208477

Jennifer Lynn Youngblood, COTAL

Practitioner Occupational Therapy Assistant Roswell, NM

Practice location

Address: 507 S Lea Ave APT a, Roswell, NM 88203-4565
Phone: (505) 637-9942

Registered specialties (2)

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 2303 (NM)

Other Occupational Therapy Assistant providers in New Mexico →

Occupational Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 209781 (TX)

Registry record

NPI: 1023208477
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jul 2007
Record last updated: 31 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.