Healthcare Provider Details

I. General information

NPI: 1104639657
Provider Name (Legal Business Name): CATHERINE T YOUNG DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2025
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 BOLLINGER CANYON LN
SAN RAMON CA
94582-4592
US

IV. Provider business mailing address

2991 SANTOS LN APT 105
WALNUT CREEK CA
94597-7571
US

V. Phone/Fax

Practice location:
  • Phone: 925-735-6414
  • Fax:
Mailing address:
  • Phone: 909-201-9116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: