Provider Demographics
NPI:1073970927
Name:MCINTOSH, JANELLE CHRISTINE UHT (OTR/L, MOT)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:CHRISTINE UHT
Last Name:MCINTOSH
Suffix:
Gender:F
Credentials:OTR/L, MOT
Other - Prefix:
Other - First Name:JANELLE
Other - Middle Name:CHRISTINE
Other - Last Name:UHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L, MOT
Mailing Address - Street 1:2526 W MACARTHUR BLVD UNIT F
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-7110
Mailing Address - Country:US
Mailing Address - Phone:714-360-4094
Mailing Address - Fax:
Practice Address - Street 1:2760 JANE ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-4301
Practice Address - Country:US
Practice Address - Phone:951-788-7305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-23
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16472225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist