Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT3831 | CA |
NPI | 1003122680 |
---|---|
Provider Name | Yvonne Joy Tweeten |
First Address | Martinez, CA 94553-5058 |
Second Address | Martinez, CA 94553-5058 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2010 |
Last Update Date | 11/02/2022 |