Provider Demographics
NPI:1104203512
Name:YOUNT, CHRISTINE ANN (OTR)
Entity Type:Individual
Prefix:MISS
First Name:CHRISTINE
Middle Name:ANN
Last Name:YOUNT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28265 LETICIA
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-2329
Mailing Address - Country:US
Mailing Address - Phone:949-375-3358
Mailing Address - Fax:
Practice Address - Street 1:28265 LETICIA
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-2329
Practice Address - Country:US
Practice Address - Phone:949-375-3358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-05
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15190225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist