Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH EUGENE YOUNGBLOOD, PTA
ActiveKENNETH EUGENE YOUNGBLOOD, PTA is a Occupational Therapist healthcare provider located in COCHRAN, Georgia. NPI 1023226933 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · COCHRAN, GA
Registration Details
- NPI Number
- 1023226933
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 21, 2007 (19.214754722784 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1457 (GA)
Practice Information
- Address
-
136 WEST DYKES STREETCOCHRAN, GA, 31014Browse GA providers · Browse ZIP 31014
- Phone
- 4789348801
- Fax
- 2298682175
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in COCHRAN, GA
| Name | Credential | NPI |
|---|---|---|
| VICTORIA HENSLEY | — | 1043787716 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.