Individual
MICHELLE MARIE MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3711 ECHO VALLEY CIR, LA GRANGE, KY 40031-9644
(502) 396-9700
Mailing address
3711 ECHO VALLEY CIR, LA GRANGE, KY 40031-9644
(502) 396-9700
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
KY
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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