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NPI Code Detail

MEDICARE: JENNIFER JAMIE YUE PT

MEDICARE: JENNIFER JAMIE YUE PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist38006CA

General Provider Information

NPI Number : 1568750792
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER JAMIE YUE PT
Provider Business Mailing Address
First Line : 90 HURLBUT ST APT 10
Second Line :
City : PASADENA
State : CA
Zip : 91105-4036
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3294 E SPRING ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-2426
Country : US
Telephone Number : 562-988-3570
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2011
Last Update Date : 07/21/2011

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