Individual
SHELLY RUTH MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2530 GREENHILL RD, MT PLEASANT, TX 75455-6744
(903) 572-0974
Mailing address
524 COUNTY ROAD 1651, AVINGER, TX 75630-1700
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209314
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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