Provider Demographics
NPI:1104639657
Name:YOUNG, CATHERINE T (DPT)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:T
Last Name:YOUNG
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:2991 SANTOS LN APT 105
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-7571
Mailing Address - Country:US
Mailing Address - Phone:909-201-9116
Mailing Address - Fax:
Practice Address - Street 1:350 BOLLINGER CANYON LN
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94582-4592
Practice Address - Country:US
Practice Address - Phone:925-735-6414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist