Provider Demographics
NPI:1629257068
Name:YOUNG, CHRISTI P (OT)
Entity Type:Individual
Prefix:
First Name:CHRISTI
Middle Name:P
Last Name:YOUNG
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9900 MAIN ST
Mailing Address - Street 2:SUITE 200A
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-3907
Mailing Address - Country:US
Mailing Address - Phone:703-279-4360
Mailing Address - Fax:703-279-4214
Practice Address - Street 1:2280 OPITZ BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-3362
Practice Address - Country:US
Practice Address - Phone:703-580-5160
Practice Address - Fax:703-580-6880
Is Sole Proprietor?:No
Enumeration Date:2007-11-02
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0119003473225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist