National Provider Identifier
Kimberly Youngberg
Kimberly Youngberg is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Jamestown, NY and a listed phone number of (716) 661-1408.
Profile Overview
- NPI
- 1932504123
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- October 30, 2014
- Last Updated
- October 30, 2014
Practice Location
- 75 Jones And Gifford Ave
- Jamestown, NY 14701-2828
Phone: (716) 661-1408
Mailing Address
- 111 Parkview Ave
- Jamestown, NY 14701-8333
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1932504123
- Entity Type
- Individual
- Last Name
- Youngberg
- First Name
- Kimberly
- Mailing Street Address
- 111 Parkview Ave
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-8333
- Mailing Country
- US
- Mailing Phone
- (716) 969-9968
- Practice Street Address
- 75 Jones And Gifford Ave
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-2828
- Practice Country
- US
- Practice Phone
- (716) 661-1408
- Practice Fax
- (716) 661-1074
- Enumeration Date
- October 30, 2014
- Last Updated
- October 30, 2014
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)