Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Jennifer Lynn Youngblood, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1023208477

Mrs. Jennifer Lynn Youngblood, COTA/L is an Occupational Therapy Assistant in Roswell, New Mexico. Practices as a sole proprietor. Licensed in New Mexico and Texas.

Licensed in
NM, TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

507 S Lea Ave Apt A
Roswell, NM 88203-4565
Phone: (505) 637-9942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 2303 (NM)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 209781 (TX)

Record details

NPI number1023208477
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedJuly 31, 2007
Last updated in NPPESJuly 31, 2007

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