Doctor Name: | MS. JANE MARYOUNG |
NPI Number: | 1346256559 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.P.T. |
License Number: | PT008169 |
Business Practice Address: | 375 Rolling Oaks Dr Suite 200 Thousand Oaks, CA - 913611023 |
Business Phone Number: | 8054979481 |
Business Fax Number: | 8054973416 |
Mailing Address: | 1148 Arcane St, SIMI VALLEY |
State: | CA |
Postal Code: | 930654407 |
Phone Number: | 8055278389 |
Fax Number: | 8054973416 |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT008169 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |