Provider Demographics
NPI:1932351863
Name:YOUNT, JESSICA H (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:H
Last Name:YOUNT
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 1:1271 COTTAGE DR
Mailing Address - Street 2:
Mailing Address - City:SUMMERTON
Mailing Address - State:SC
Mailing Address - Zip Code:29148-7008
Mailing Address - Country:US
Mailing Address - Phone:803-460-4655
Mailing Address - Fax:803-488-0031
Practice Address - Street 1:116 MAIN ST
Practice Address - Street 2:
Practice Address - City:SUMMERTON
Practice Address - State:SC
Practice Address - Zip Code:29148-6904
Practice Address - Country:US
Practice Address - Phone:803-460-4655
Practice Address - Fax:803-488-0031
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-22
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2686225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist