Healthcare Provider Details

I. General information

NPI: 1417018268
Provider Name (Legal Business Name): JOYCE BERNAS-YUNG P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 07/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 DIVISADERO ST FL 3 SUITE #300
SAN FRANCISCO CA
94115-3036
US

IV. Provider business mailing address

1635 DIVISADERO ST STE 300 3RD FLOOR
SAN FRANCISCO CA
94115-3043
US

V. Phone/Fax

Practice location:
  • Phone: 415-833-4685
  • Fax: 415-833-2612
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251E1200X
TaxonomyErgonomics Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: