Provider Demographics
NPI:1861801847
Name:YALUNG, MARIA JUDY ALTERADO
Entity type:Individual
Prefix:MRS
First Name:MARIA JUDY
Middle Name:ALTERADO
Last Name:YALUNG
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:MARI JUDY
Other - Middle Name:HIRANG
Other - Last Name:ALTERADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:694 GRAND COULEE AVE
Mailing Address - Street 2:APT. 1
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-5915
Mailing Address - Country:US
Mailing Address - Phone:408-718-5890
Mailing Address - Fax:
Practice Address - Street 1:694 GRAND COULEE AVE
Practice Address - Street 2:APT. 1
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-5915
Practice Address - Country:US
Practice Address - Phone:408-718-5890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-04
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 14447225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist