Mrs. Jennifer Lynn Youngblood
Occupational Therapy Assistant
507 S Lea Ave Apt A
Roswell
, New Mexico 88203-4565
Mrs. Jennifer Lynn Youngblood
Occupational Therapy Assistant
507 S Lea Ave Apt A
Roswell
, New Mexico 88203-4565
(505) 637-9942
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Mrs. Jennifer Lynn Youngblood
- 507 S Lea Ave Apt A
- Roswell, NM
- Zip : 88203-4565
- Phone : (505) 637-9942
Second Address
- Mrs. Jennifer Lynn Youngblood
- 507 S Lea Ave Apt A
- Roswell, NM
- Zip : 88203-4565
- Phone : (505) 637-9942
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | 209781 | TX |
| Y | 224Z00000X | Occupational Therapy Assistant | 2303 | NM |
National Provider Identifier
| NPI | 1023208477 |
|---|---|
| Provider Name | Mrs. Jennifer Lynn Youngblood |
| First Address | Roswell, NM 88203-4565 |
| Second Address | Roswell, NM 88203-4565 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2007 |
| Last Update Date | 31/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.