Provider Demographics
NPI:1174649503
Name:MINOR, CHRISTY LYNN (OTR, L)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:LYNN
Last Name:MINOR
Suffix:
Gender:F
Credentials:OTR, L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 S BAHAMA DR
Mailing Address - Street 2:
Mailing Address - City:DUCK KEY
Mailing Address - State:FL
Mailing Address - Zip Code:33050-3714
Mailing Address - Country:US
Mailing Address - Phone:305-481-5180
Mailing Address - Fax:
Practice Address - Street 1:144 S BAHAMA DR
Practice Address - Street 2:
Practice Address - City:DUCK KEY
Practice Address - State:FL
Practice Address - Zip Code:33050-3714
Practice Address - Country:US
Practice Address - Phone:305-481-5180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2014-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 9741225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist