Doctor Name: | JENNIFER YOO |
NPI Number: | 1144617432 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 40QA00915100 |
Business Practice Address: | 126 Nottingham Ct Montvale, NJ - 076452107 |
Business Phone Number: | 9175540280 |
Business Fax Number: | |
Mailing Address: | 126 Nottingham Ct, MONTVALE |
State: | NJ |
Postal Code: | 076452107 |
Phone Number: | 9175540280 |
Fax Number: | |
NPI Enumeration Date: | 04/24/2015 |
NPI Last Update Date: | 04/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | 40QA00915100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |